多层螺旋CT诊断老年人不典型阑尾炎的价值  

Value of Multislice Spiral CT in the Diagnosis of Senior Atypical Appendicitis

作　　者：郭虎[1] Guo Hu(Department of CT Imaging, Nanyang Central Hospital, Nanyang 473000)

机构地区：[1]南阳市中心医院CT影像科

出　　处：《数理医药学杂志》2019年第6期821-822,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨多层螺旋CT(MS-CT)应用于不典型老年阑尾炎患者临床诊断的价值。方法:选取2017年6月~2018年5月入院诊治的68例老年不典型阑尾炎患者作为对象,给予患者MS-CT检查,将手术病理学检查结果作为金标准,回顾分析并评价MS-CT检查应用价值。结果:MS-CT检查应用于老年不典型阑尾炎患者临床诊断时,显示率为83.82%(57/68),未显示者增强扫描时显示率为90.91%(10/11),与手术病例诊断结果对比,MS-CT检查诊断符合率为98.53%,两种诊断方式诊断率比较无明显差异(P>0.05)。结论:行MS-CT检查可获得较高显示率,具推广应用价值。Objective: To explore the value of multislice spiral CT ( MS-CT ) in the clinical diagnosis of senior atypical appendicitis. Methods: 68 elderly patients with atypical appendicitis admitted to a hospital from June 2017 to May 2018 were selected as subjects, the patients were given MS-CT examination, and the results of surgical pathology examination were taken as gold standard, the application value of MS-CT examination was retrospectively analyzed and evaluated. Results: When MS-CT was applied to the clinical diagnosis of elderly patients with atypical appendicitis,the display rate was 83.82%(57/68).The display rate was 90.91 %(10/11) when enhanced scanning was performed on the undisplayed subjects.Compared with the diagnosis results of surgical cases, the diagnostic coincidence rate of MS-CT examination was 98.53%, and there was no significant difference between the two diagnostic methods ( P >0.05). Conclusion: MS-CT examination can obtain a higher display rate.It has the value of popularization and application.

关 键 词：不典型阑尾炎 诊断 多层螺旋CT 

分 类 号：R445.2[医药卫生—影像医学与核医学]