多层螺旋CT在阑尾炎诊断中的应用价值  

Multislice Spiral CT in the Diagnosis of Appendicitis

作　　者：黄权生[1] 刘华[1] 杨鹏[1] 吴文[1] 

机构地区：[1]嘉应学院医学院附属医院,广东省梅州市514031

出　　处：《现代医用影像学》2015年第2期217-219,共3页Modern Medical Imageology

摘　　要：目的:研究多层螺旋CT用于诊断阑尾炎的临床价值。材料与方法:整理和对比经手术、病理确诊为阑尾炎者80例,随机分组后,对对照组患者行腹部超声,观察组行MSCT检查;根据手术及病理分析结果,对比螺旋CT轴扫与腹部超声对阑尾炎的诊断正确率。结果:观察组经MSCT诊断与病理分析后确诊阑尾炎患者39例,有1例误诊;对照组经常规诊断与手术病理分析,有31例急性阑尾炎患者被确诊,有9例误诊,观察组诊断符合率97.5%明显高于对照组77.5%(P<0.05)。结论阑尾炎症状、体征不典型,临床很容易引起诊断;通过MSCT,能观察到阑尾炎的病变情况,其对阑尾炎具有较高的诊断价值。Purpose： To study the clinical value of multislice spiral CT for the diagnosis of appendicitis. Materials and Methods： comparison by surgery and pathology were 80 cases diagnosed as appendicitis, after randomization, patients in the control group for abdominal ultrasound observation group row MSCT examination; according to the results of surgery and pathology analysis, comparing spiral CT axis scan and abdominal ultrasound for appendicitis the diagnostic accuracy. Results： the observation group MSCT diagnosis and pathological analysis of 39 patients diagnosed with appendicitis, there is one ease of misdiagnosis; control group by conventional diagnostic and surgical pathology analysis, 31 patients were diagnosed with acute appendicitis, there are nine cases of misdiagnosis, the observation group diagnosis rate 97. 5% was significantly higher than 77.5% （P 〈 0.05）. Conclusion： appendicitis symptoms and signs are not typical, easily lead to clinical diagnosis; by MSCT, can be observed lesions appendicitis, which has a high diagnostic value of appendicitis.

关 键 词：多层螺旋CT 诊断 阑尾炎 

分 类 号：R574.61[医药卫生—消化系统] R816.5[医药卫生—内科学]