[The use of computed tomography in the diagnosis of acute appendicitis]. / Komp'iuternaia tomografiia v dagnostike ostrogo appenditsita (s kommentariem).

AIM: To present the use of computed tomography in the diagnosis of acute appendicitis. MATERIAL AND METHODS: The study was conducted in 139 patients who were hospitalized with suspected acute appendicitis. However, the diagnosis was not clearly confirmed by clinical and ultrasonic data. RESULTS: Computed tomography confirmed/rejected presumptive diagnosis in 90.8% of patients. It was concluded that CT has high diagnostic accuracy to confirm acute appendicitis.

DIAGNOSTIC TRENDS IN ACUTE APPENDICITIS.

The authors presents the results of application of ultrasound investigation, diagnostic laparoscopy and multi-helical computer tomography in diagnostics of acute appendicitis. The research was applied on 139 patients whom clinical diagnosis was hard to establish using clinical - laboratory criteria. Ultrasound signs of acute appendicitis were revealed in 44 patients out of 139 (31,6%). Diagnostic laparoscopy was performed in 37 (26,6%) patients. According to the results of laparoscopy, the diagnosis of acute appendicitis was сonfirmed in 22 (70,2%) cases. The application of CT allowed the authors to confirm or reject the supposed diagnosis in 90,8% patients. The authors came to conclusion that this non-invasive method facilitated to diagnostics of vermiform appendix inflammation and had a high diagnostic accuracy.