多排螺旋CT对急性阑尾炎的诊断价值分析  

The value of multi-slice spiral CT in the diagnosis of acute appendicitis

作　　者：钱国旗[1] 徐启中 杨彬[1] 季更生[1] 

机构地区：[1]安徽医科大学附属巢湖医院CT室,巢湖238000

出　　处：《中国临床保健杂志》2017年第4期414-416,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨多排螺旋CT(MSCT)对急性阑尾炎的诊断价值。方法收集经临床手术确诊为急性阑尾炎的患者552例,其中有68例术前先后进行了超声和MSCT检查,分析其腹部MSCT诊断及超声诊断结果。结果 68例阑尾炎中MSCT诊断正确共67例(98.5%),超声诊断准确共54例(79.4%),MSCT诊断准确率高于超声诊断(χ2=12.663,P=0.001)。结论 MSCT可提高急性阑尾炎术前诊断准确率,具有较高的临床应用价值。Objective To explore the value of MSCT（ multi - slice spiral CT） in the diagnosis of acute ap- pendicitis. Methods Sixty-eight cases of acute appendicitis with MSCT and B ultrasonic were from 552 patients con- firmed by surgery and pathology. The result of abdominal MSCT were compared with B ultrasonic. Results Sixty-sev- en cases of patients were diagnosed by MSCT ,50 cases of patients were diagnosed by B ultrasonic. The diagnostic ac- curacy of MSCT was higher than that of B ultrasonic examination. Conclusion MSCT can improve the diagnostic ac- curacy of acute appendicitis, show the appendix location and the around changes of lesions before operation, and it has high clinical value.

关 键 词：阑尾炎 体层摄影术 螺旋计算机 超声检查 

分 类 号：R656.8[医药卫生—外科学] R816.5[医药卫生—临床医学]