急诊多层螺旋CT平扫对阑尾炎诊断的临床意义分析  

Analysis of clinical significance by emergency multi-slice spiral CT plain scanning for diagnosis of appendicitis

作　　者：张俊萍[1] 

机构地区：[1]珠海市妇幼保健院放射科,519000

出　　处：《中国实用医药》2017年第11期60-61,共2页China Practical Medicine

摘　　要：目的分析急诊多层螺旋CT平扫对阑尾炎诊断的临床意义。方法 62例阑尾炎患者分别给予超声检查和多层螺旋CT检查。比较两种检查方法诊断准确率及不同类型阑尾炎诊断结果。结果多层螺旋CT检查确诊率为96.8%,高于超声检查的64.5%,差异具有统计学意义(P<0.05)。多层螺旋CT检查化脓性、急性蜂窝织炎性阑尾炎并阑尾周围炎及其他性阑尾炎确诊率分别为88.2%、95.0%,均高于超声检查的52.9%、67.5%,差异具有统计学意义(P<0.05)。两种检查方法检查坏疽性阑尾炎确诊率比较差异无统计学意义(P>0.05)。结论急诊多层螺旋CT平扫可显著提高阑尾炎的诊断准确率,明确阑尾炎类型,为临床合理选择手术方案和评价预后提供借鉴信息,具有较高的临床应用价值。Objective To analyze clinical significance by emergency multi-slice spiral CT plain scanning for diagnosis of appendicitis. Methods A total of 62 patients with appendicitis received ultrasound examination and multi-slice spiral CT examination respectively. Comparison was made on diagnostic accuracy rate and diagnosis outcomes of different appendicitis types. Results Multi-slice spiral CT examination had higher accuracy rate as 96.8% than 64.5% by ultrasound examination, and their difference had statistical significance（P〈0.05）. Multi-slice spiral CT examination showed diagnostic accuracy rate for suppurative appendicitis, acute phlegmonous appendicitis complicated with periappendicitis and other appendicitis respectively as 88.2% and 95.0%, which were all higher than 52.9% and 67.5% by ultrasound examination, and the difference had statistical significance（P〈0.05）. There was no statistically significant difference of diagnostic accuracy rate for gangrenous appendicitis between the two examination ways（P〉0.05）. Conclusion Emergency multi-slice spiral CT plain scanning can remarkably improve diagnostic accuracy rate for appendicitis and define appendicitis types, so as to provide referring information for rational clinical operation selection and prognosis evaluation. This method contains high value for clinical application.

关 键 词：阑尾炎 多层螺旋CT平扫 诊断 

分 类 号：R656.8[医药卫生—外科学]