CAJ | 학술논문

目的探讨螺旋CT在基层医院急腹症诊治中的应用价值。方法回顾性分析经手术或临床证实的100例急腹症的螺旋CT资料。结果100例中，急性胰腺炎21例，肠梗阻18例，泌尿系结石17例，胆系疾病15例，急性阑尾炎12例，消化道穿孔8例，肠管周围位炎4例，妇科疾病3例，腹主动脉夹层2例。CT检查前后，病因诊断正确率分别为61%(n=61)、98%(n=98)，CT明确诊断后，21例(21%)临床治疗方案改变。结论螺旋CT诊断急腹症简便、快捷、准确，对进一步的临床治疗具有指导意义，值得应用。
목적탐토라선CT재기층의원급복증진치중적응용개치。방법회고성분석경수술혹림상증실적100례급복증적라선CT자료。결과100례중，급성이선염21례，장경조18례，비뇨계결석17례，담계질병15례，급성란미염12례，소화도천공8례，장관주위위염4례，부과질병3례，복주동맥협층2례。CT검사전후，병인진단정학솔분별위61%(n=61)、98%(n=98)，CT명학진단후，21례(21%)림상치료방안개변。결론라선CT진단급복증간편、쾌첩、준학，대진일보적림상치료구유지도의의，치득응용。
Objective To explore the application value of spiral CT in the diagnosis and treatment of acute abdomen in basic hospital. Methods A retrospective analysis of the spiral CT data of 100 patients with acute abdomen confirmed by operation or clinical . Results The 100 cases, 21 cases were acute pancreatitis, 18 cases were intestinal obstruction, 17 cases were urinary calculi, 15 patients were biliary disease, 12 cases were acute appendicitis, 8 cases were digestive tract perforation, 4 cases were inflammation around the intestinal, 3 cases were gynecological disease, 2 cases were abdominal aortic dissection. Before and after CT examination, the correct diagnosis rate were 61% (n=61), 98% (n=98). After sure diagnosis by CT scan, the clinical management was changed in 21 cases (21%) . Conclusion Spiral CT is a simple, fast and accurate technique in the diagnosis of acute abdomen and can help to the further clinical treatment, so which is worthy of application.