腹部CT扫描诊断急性阑尾炎的有效性研究  

Effectiveness of abdominal CT scan in diagnosis of acute appendicitis

作　　者：马爱冬[1] 张勇[1] MA Aidong;ZHANG Yong(The First People's Hospital of Ji'ning city,Ji'ning,Shandong,272000,China)

机构地区：[1]济宁市第一人民医院,山东济宁2272000

出　　处：《中国冶金工业医学杂志》2024年第2期130-131,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的分析腹部CT诊断急性阑尾炎的有效性。方法选择2022年1月—2023年1月我院收治的60例疑似急性阑尾炎患者,行腹部CT检查,以病理学检查为金标准,分析CT检查的诊断效果。结果CT与病理学检查的准确率、灵敏度、特异度及对单纯性阑尾炎、化脓性阑尾炎、坏疽穿孔性阑尾炎的检出效果比较均无显著差异(χ^(2)=3.077、2.035、1.333、1.018、0.000、0.000,均P>0.05);化脓性阑尾炎的渗出CT征象率高于其他类型阑尾炎(χ^(2)=11.101,P<0.05);穿孔坏疽性阑尾炎的管径高于其他类型阑尾炎(t=54.715,P<0.05)。结论腹部CT诊断鉴别急性阑尾炎的效果较好。Objective To analyze the effectiveness of abdominal CT in diagnosing acute appendicitis.Methods From January 2022 to January 2023,60 patients with suspected acute appendicitis were selected and underwent abdominal CT scans at our hospital.Pathological examination was used as the gold standard,and analyzed the diagnostic effect of CT scans.Results There was no significant difference in accuracy,sensitivity,specificity,and detection efficacy for simple appendicitis,suppurative appendicitis,and gangrenous perforated appendicitis between CT and pathological examination(χ^(2)=3.077,2.035,1.333,1.018,0.000,0.000,all P>0.05).The rate of exudation CT signs in suppurative appendicitis was higher than that in other types of appendicitis(χ^(2)=11.101,P<0.05).The diameter of the tube in perforated gangrenous appendicitis was greater than that in other types of appendicitis(t=54.715,P<0.05).Conclusion Abdominal CT is effective in diagnosing and differentiating acute appendicitis.

关 键 词：腹部CT 急性阑尾炎 超声 

分 类 号：R445[医药卫生—影像医学与核医学]