急性阑尾炎不同病程CT征象的年龄和性别差异

doi:10.13418/j.issn.1001-165x.2026.2.15

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中国临床解剖学杂志 ›› 2026, Vol. 44 ›› Issue (2) : 222-227. DOI: 10.13418/j.issn.1001-165x.2026.2.15

临床研究

急性阑尾炎不同病程CT征象的年龄和性别差异

胡斌，骆幸才，俞叶军

作者信息 +

Age and gender differences in CT signs of acute appendicitis at different disease courses

Hu Bin, Luo Xingcai, Yu Yejun

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摘要

目的探究急性阑尾炎不同病程CT征象的年龄和性别差异。方法纳入2021年6月1日~2024年6月30日在我院治疗的235例急性阑尾炎患者为研究对象，分别为单纯组（急性单纯性阑尾炎，n=32）、化脓组（急性化脓性阑尾炎，n=185）、坏疽组（急性坏疽性阑尾炎，n=18），并采用多层螺旋CT平扫进行检查，比较不同病程患者的不同年龄和性别的影像学表现差异。结果化脓组与坏疽组年龄和发病到就诊时间均高于单纯组（P<0.05），化脓组阑尾增粗、阑尾周围渗出发生率高于单纯组（P<0.05），坏疽组饮酒比例高于单纯组（P<0.05）。病程<24 h和24~48 h中，≥65岁组的腔内积气发生率均低于45~64岁组（P<0.05），其余比较差异均无统计学意义（P>0.05）。不同病程、性别患者的CT征象比较，差异均无统计学意义（P>0.05）。性别是阑尾增粗、病程是阑尾周围渗出及和腔外游离气体的预测因素（P<0.05）。结论年龄与急性阑尾炎的严重程度以及年龄和病程与腔内积气征象密切相关，而性别对阑尾增粗、病程对阑尾周围渗出和腔外游离气体具有预测作用。

Abstract

Objective To explore the age and gender differences in CT signs of acute appendicitis at different disease courses. Methods 235 patients with acute appendicitis treated in our hospital from June 1, 2021 to June 30, 2024 were included as study objects, which were divided into simple group （acute simple appendicitis, n=32）, suppurative group （acute suppurative appendicitis, n=185） and gangrene group （acute gangrenous appendicitis, n=18）, respectively. The imaging findings of patients at different disease courses of different age and gender were compared by multi-slice spiral CT plain scan. Results The age and the time from onset to treatment in pyogenic group and gangrene group were higher than that in simple group （P<0.05）. The incidence of appendiceal thickening and peri appendiceal exudation in pyogenic group was higher than that in simple group （P<0.05）, and the proportion of alcohol consumption in gangrene group was higher than that in simple group （P<0.05）. Among the disease courses <24 h and 24~48 h, the incidence of endovascular gas in the ≥65 years old group were lower than that in the 45~64 years old group （P<0.05）, while there were no statistically significant differences in the other comparisons （P>0.05）. There was no statistically significant difference in CT signs among patients with different disease courses and genders （P>0.05）. Gender was a predictor of appendiceal thickening, and disease course was a predictor of peri appendiceal exudation, extraluminal free gas （P<0.05）. Conclusion Age was closely related to the severity of acute appendicitis and the signs of endovascular gas, while gender had a predictive effect on the appendiceal thickening, and the disease course had a predictive effect on peri appendiceal exudation, extraluminal free gas.

导出引用

胡斌, 骆幸才, 俞叶军. 急性阑尾炎不同病程CT征象的年龄和性别差异[J]. 中国临床解剖学杂志. 2026, 44(2): 222-227 https://doi.org/10.13418/j.issn.1001-165x.2026.2.15

Hu Bin, Luo Xingcai, Yu Yejun. Age and gender differences in CT signs of acute appendicitis at different disease courses[J]. Chinese Journal of Clinical Anatomy. 2026, 44(2): 222-227 https://doi.org/10.13418/j.issn.1001-165x.2026.2.15

中图分类号： R656.8

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