학술논문
多层螺旋CT对急性阑尾炎的诊断及临床意义 / Clinical value of multislice spiral CT in diagnosis of acute appendicitis
Document Type
Academic Journal
Source
实用医院临床杂志 / Practical Journal of Clinical Medicine. 14(4):159-161
Subject
Language
Chinese
ISSN
1672-6170
Abstract
目的 探讨多层螺旋CT在急性阑尾炎诊断中的临床价值.方法 回顾性分析112例临床疑似急性阑尾炎患者的CT资料.结合手术病理,评估多层螺旋CT扫描诊断急性阑尾炎的敏感度、特异度、阳性预测值、阴性预测值.结果 112例疑似急性阑尾炎患者,术前CT检出急性阑尾炎94例,与手术病理诊断符合88例,平扫诊断急性阑尾炎的敏感度为96.7％,特异度为71.4％,阳性预测值为93.6％,阴性预测值为83.3％.结论 多层螺旋CT在诊断急性阑尾炎以及判断阑尾的炎症严重程度起着重要作用,有助于与其他急腹症的鉴别,对临床选择恰当的治疗方式提供了依据.
Objective To investigate the clinical value of CT features in acute appendicitis.Methods CT features of 112 patients with acute appendicitis were retrospectively reviewed.Compared with pathological results,the sensitivity,specificity,positive predictive value and negative predictive value of the individual CT images of appendicitis were evaluated.Results In the 112 patients with acute appendicitis,94 were diagnosed by CT scan,and 88 were accorded with pathological diagnosis.The sensitivity,specificity,positive predictive value and negative predictive value of CT plain scan were 96.7％,71.4％,93.6％ and 83.3 ％,respectively.Conclusion Multislice spiral CT plays an important role in the diagnosis of acute appendicitis and the severity of inflammation.It also contributes to the diagnosis of acute abdomen other than appendicitis,which is conducive to the clinical selection of appropriate treatment.
Objective To investigate the clinical value of CT features in acute appendicitis.Methods CT features of 112 patients with acute appendicitis were retrospectively reviewed.Compared with pathological results,the sensitivity,specificity,positive predictive value and negative predictive value of the individual CT images of appendicitis were evaluated.Results In the 112 patients with acute appendicitis,94 were diagnosed by CT scan,and 88 were accorded with pathological diagnosis.The sensitivity,specificity,positive predictive value and negative predictive value of CT plain scan were 96.7％,71.4％,93.6％ and 83.3 ％,respectively.Conclusion Multislice spiral CT plays an important role in the diagnosis of acute appendicitis and the severity of inflammation.It also contributes to the diagnosis of acute abdomen other than appendicitis,which is conducive to the clinical selection of appropriate treatment.