CT扫描对急性阑尾炎术前诊断的效果观察及价值体会  

Effect Observation and Value of CT Scan in Preoperative Diagnosis of Acute Appendicitis

作　　者：韩锋[1] HAN Feng(Jinxi People's Hospital of Kunshan City,Kunshan,Jiangsu 215324,China)

机构地区：[1]昆山市锦溪人民医院,江苏昆山215324

出　　处：《大医生》2020年第21期123-125,共3页Doctor

摘　　要：目的评价CT扫描对急性阑尾炎术前诊断的效果及价值体会。方法选取于2018年11月至2020年9月昆山市锦溪人民医院确诊的急性阑尾炎患者展开研究,从中抽选出60例均在术前接受B超检查和CT扫描检查,比较B超和CT扫描结果,并与手术病理诊断结果进行比较,分析其诊断结果和具体的扫描特征。结果急性阑尾炎患者行CT和B超扫描时,其病理类型可分为单纯性、化脓性、坏疽穿孔性和阑尾周围脓肿等,其中单纯性的CT扫描阳性率明显高于B超结果,对比差异有统计意义(P<0.05);以手术病理结果为金标准,60例患者经CT扫描的诊断准确率93.33%明显比B超58.33%结果高,差异有统计学意义(P<0.05)。结论采用多层螺旋CT扫描的诊断结果与手术病理诊断结果相近,其扫描结果准确性高,为临床展开进一步质量提供有价值的依据。Objective To evaluate the effect and value of CT scan in preoperative diagnosis of acute appendicitis.Methods From November 2018 to September 2020,60 patients with acute appendicitis were selected from Jinxi People's Hospital of Kunshan City.They were examined by B-ultrasound and CT scan before operation.The results of B-ultrasound and CT scan were compared and compared with those of pathology.The diagnosis results and specific scanning characteristics were analyzed.Results Acute appendicitis patients with CT and B-ultrasound scanning,the pathological types can be divided into simple,suppurative,gangrenous perforating type and periappendiceal abscess.The positive rate of simple CT scanning was significantly higher than that of B-ultrasound,and the difference was statistically significant(P<0.05).Taking surgical pathological results as the gold standard,the diagnostic accuracy rate of CT scanning in 60 patients was 93.33%,significantly higher than that of B-ultrasound 58.33%The difference was statistically significant(P<0.05).Conclusion The diagnostic results of multi-slice spiral CT scanning are similar to those of surgical pathology.The accuracy of scanning results is high,which provides valuable basis for clinical further quality.

关 键 词：CT扫描 急性阑尾炎 术前诊断 准确率 

分 类 号：R65[医药卫生—外科学]