81例早期急性阑尾炎患者行多层螺旋CT的诊断价值  

Multislice spiral CT in the diagnosis of early acute appendicitis

作　　者：陈解南[1] 刘铁峰[1] 彭冬红[1] 黄凤萍[1] CHEN Jie-nan;LIU Tie-jeng;PENG Dong-hong(Radiology Dept,Maternal and Child Health Hospital of Zhuhai City,Zhuhai women＇s and children＇s Hospital,Zhuhai 519000,China)

机构地区：[1]珠海市妇幼保健院珠海市妇女儿童医院放射科,广东珠海519000

出　　处：《吉林医学》2018年第6期1127-1129,共3页Jilin Medical Journal

摘　　要：目的:探讨多层螺旋CT诊断早期急性阑尾炎的价值。方法:对81例早期急性阑尾炎患者进行多层螺旋CT诊断,并探讨其诊断价值。结果:多层螺旋CT确诊出80例急性阑尾炎患者,确诊率98.77%。经手术病理确诊81例急性阑尾炎,其中坏疽性阑尾炎14例(17.28%)、单纯性阑尾炎20例(24.69%)、蜂窝组织炎性阑尾炎21例(25.93%)、化脓性阑尾炎26例(32.10%);其中有9例伴阑尾四周脓肿(11.11%),39例伴阑尾粪石(48.15%),50例伴淋巴结肿大(61.73%)。比较两种方法诊断率差异无统计学意义(P>0.05)。多层螺旋CT诊断早期急性阑尾炎的特异度、敏感度、准确度高达90.12%、97.53%、98.77%。结论:为早期急性阑尾炎患者进行多层螺旋CT诊断,结果较为理想且安全可靠,值得临床普及应用。Objective To explore the value of multi-slice spiral CT in the diagnosis of early acute appendicitis. Method 81 cases of early acute appendicitis in our hospital were studied,and all patients were diagnosed with multi-slice spiral CT,and the diagnostic value was discussed. Results 80 cases of acute appendicitis were diagnosed by multi-slice spiral CT,accounting for98. 77%. By surgery pathology confirmed 81 cases of acute appendicitis,in which 14 cases of gangrenous appendicitis（ 17. 28%）,simple appendicitis 20 cases（ 24. 69%）,cellular tissue inflammatory 21 cases（ 25. 93%）,suppurative appendicitis appendicitis 26 cases（ 32. 10%）. Among them,9 cases were associated with periappendiceal abscess（ 11. 11%）,39 cases with appendectomy（ 48. 15%）,and 50 patients with lymphadenopathy（ 61. 73%）. The diagnostic rate of the two methods was not statistically significant（ P〈0.05）. The specificity,sensitivity and accuracy of muti-slice spiral CT in the diagnosis of early acute appendicitis were as high as 90. 12%,97. 53%,98. 77%. Conclusion Multi-slice spiral CT diagnosis for early acute appendicitis is ideal and safe. It is worthy of clinical popularization.

关 键 词：多层螺旋CT 早期 急性阑尾炎 诊断价值 

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