螺旋CT与超声在胆道系统急腹症中的临床应用与价值分析  

作　　者：何倩倩 邵国良[3] 

机构地区：[1]浙江中医药大学研究生院,310059 [2]浙江省诸暨市中医医院,311800 [3]浙江省肿瘤医院,310022

出　　处：《浙江临床医学》2024年第2期261-263,共3页Zhejiang Clinical Medical Journal

摘　　要：目的研究多层螺旋CT上腹部平扫与超声在胆道系统急腹症诊断中的价值。方法选取诸暨市中医医院2021年1月至2022年12月期间收治的70例胆道系统急腹症患者,并进行回顾性研究。患者均接受上腹部CT平扫和超声诊断,将影像诊断结果与临床确诊进行比较分析。比较分析CT超声检查的诊断准确性,探讨CT的检查方法学。结果70例患者均经临床确诊。对于急性胆囊炎CT诊断准确率为81.2%(18/22),B超为86.4%(19/22);急性梗阻性胆管炎CT诊断准确率为90%(20/22),超声为81%(18/22);胆源性胰腺炎CT诊断准确率为95%(19/20),超声为65%(13/20)。采用CT诊断胆囊癌的准确率为66.7%(4/6),超声为50%(3/6),两种检查方法差异不具有统计学意义(P>0.05),其中,CT的多平面重组(MPR)图像重建有助于疾病的诊断。结论在胆道系统急腹症的患者中,CT检查具有重要的应用价值,与超声比较两者的诊断准确率相当,但CT对病灶和周围组织的显示更具有优势。Objective To explore the value of upper abdominal CT and ultrasound examination in the diagnosis of acute abdominal diseases in the biliary system.Methods 70 cases of acute abdominal disease in the biliary system were selected and retrospectively studied in Zhuji Traditional Chinese Medicine Hospital from January 2021 to December 2022.All of the patients were underwent the diagnosis of upper abdominal CT and ultrasound examination,and the imaging diagnosis results were compared and analyzed with clinical diagnosis and pathological results.Compared and analyzed the diagnostic accuracy of CT and ultrasound,and discussed the methodology of CT examination.Results All of the 70 patients were confirmed by clinical confirmation and pathologic diagnosis.The diagnostic accuracy rates of ultrasound and CT for acute cholecystitis in adults were 81.2%(18/22)and 86.4%(19/22).The diagnostic accuracy rates of ultrasound and CT for acute obstructive cholangitis in adults were 90%(20/22)and 81%(18/22).The diagnostic accuracy rates of ultrasound and CT for biliary pancreatitis in adults were 95%(19/20)and 65%(13/20).The diagnostic accuracy rates of ultrasound and CT for gallbladder cancer in adults were 66.7%(4/6)and 50%(3/6).The difference between the two examination methods was not statistically significant(P>0.05).Multiplanar recombination(MPR)image reconstruction helped in the diagnosis of diseases.Conclusion CT examination has important value in the patients with acute abdominal diseases of the biliary system.Compared with ultrasound,the diagnostic accuracy of both is comparable,but CT has more advantages in displaying lesions and surrounding tissues.

关 键 词：超声 CT 胆道系统 急腹症 MPR 

分 类 号：R656.1[医药卫生—急诊医学]