多排螺旋CT诊断脂肪肝肝脏结节性疾病患者的准确率分析  

Accuracy Analysis of Multi-Slice Spiral CT in Diagnosing Patients with Fatty Liver Nodular Disease

作　　者：邹琳琳 ZOU Lin-lin(Radiology Department,Jiuting Hospital,Songjiang District,Shanghai,Shanghai 201615)

机构地区：[1]上海市松江区九亭医院放射科,上海201615

出　　处：《中国医疗器械信息》2025年第6期120-122,共3页China Medical Device Information

摘　　要：目的:分析多排螺旋CT诊断脂肪肝肝脏结节性疾病患者的准确率。方法:研究共纳入100例研究对象,均为2022年3月~2024年3月到医院诊治的脂肪肝肝脏结节性疾病患者,均实施超声检查、多排螺旋CT检查。将病理活检结果作为参照依据,观察两种方法的诊断效能、疾病类型检出率。结果:在诊断准确率、敏感度、特异度、阳性预测值、阴性预测值上,多排螺旋CT分别为96.00%、97.62%、94.83%、93.18%、98.21%,超声检查分别为80.00%、76.19%、82.76%、76.19%、82.76%,多排螺旋CT均高于超声检查(P<0.05)。在局灶性脂肪缺失、局灶性结节增生及肝脏血管瘤的检出率上,两种方法对比无显著差异(P>0.05);在肝细胞癌与转移性肝癌的检出率上,多排螺旋CT高于超声检查(P<0.05)。结论:多排螺旋CT用于脂肪肝肝脏结节性疾病的诊断效果良好,具有较高的诊断效能,可作为疾病诊断的辅助手段。Objective:To analyze the accuracy of multi-slice spiral CT in diagnosing patients with fatty liver nodular disease.Methods:A total of 100 subjects were included in this study,all of whom were patients with fatty liver nodular disease who received treatment at the hospital from March 2022 to March 2024.They underwent ultrasound examination and multi-slice spiral CT examination.Using pathological biopsy results as a reference,observe the diagnostic efficacy and disease type detection rate of the two methods.Results:In terms of diagnostic accuracy,sensitivity,specificity,positive predictive value,and negative predictive value,multi slice spiral CT was 96.00%,97.62%,94.83%,93.18%,and 98.21%,respectively,while ultrasound examination was 80.00%,76.19%,82.76%,76.19%,and 82.76%,respectively.Multi-slice spiral CT was higher than ultrasound examination(P<0.05).There was no significant difference(P>0.05)in the detection rates of focal fat deficiency,focal nodular hyperplasia,and hepatic hemangioma between the two methods;In terms of the detection rate of hepatocellular carcinoma and metastatic liver cancer,multi-slice spiral CT was higher than ultrasound examination(P<0.05).Conclusion:Multi-slice spiral CT has a good diagnostic effect on fatty liver nodular disease,with high diagnostic efficiency.It can be used as an auxiliary tool for disease diagnosis.

关 键 词：脂肪肝肝脏结节性疾病 多排螺旋CT 准确率 检出率 

分 类 号：R445.2[医药卫生—影像医学与核医学]