CAJ | 학술논문

目的：观察比较螺旋CT、CR腹部平片对急腹症患者的诊断效果及意义。方法：对近年来笔者所在医院收治的100例急腹症患者分别采用螺旋CT、CR腹部平片进行检查，并结合手术、病理的相关资料，综合分析两种影像学检查的优缺点。结果：螺旋CT、CR腹部平片两种影像学方法的阳性检出率分别为96%、和51%，差异有统计学意义(χ2=23.76，P<0.05)。其中CT对各种常见急腹症的阳性检出率均较高，特别是对急性胆囊炎、腹部肿瘤、急性胰腺炎的阳性检出率高达100%；CR腹部平片对消化道溃疡穿孔、腹部异物阳性检出率也为100%，而对急性胰腺炎、急性阑尾炎、泌尿系统结石、腹部肿瘤等急腹症的阳性检出率分别为0、35.7%、71.4%、20.0%。结论：CR腹部平片可作为急腹症患者临床常规的检查方法，而MSCT检查对于急腹症诊断的准确度更高。
목적：관찰비교라선CT、CR복부평편대급복증환자적진단효과급의의。방법：대근년래필자소재의원수치적100례급복증환자분별채용라선CT、CR복부평편진행검사，병결합수술、병리적상관자료，종합분석량충영상학검사적우결점。결과：라선CT、CR복부평편량충영상학방법적양성검출솔분별위96%、화51%，차이유통계학의의(χ2=23.76，P<0.05)。기중CT대각충상견급복증적양성검출솔균교고，특별시대급성담낭염、복부종류、급성이선염적양성검출솔고체100%；CR복부평편대소화도궤양천공、복부이물양성검출솔야위100%，이대급성이선염、급성란미염、비뇨계통결석、복부종류등급복증적양성검출솔분별위0、35.7%、71.4%、20.0%。결론：CR복부평편가작위급복증환자림상상규적검사방법，이MSCT검사대우급복증진단적준학도경고。
Objective:To observe and compare the diagnostic effects of spiral CT and CR KUB on acute abdomen patients.Method:100 patients admitted to hospital in recent years were used in patients with acute abdominal spiral CT,CR KUB checks,combined with surgery and pathology of the relevant information,a comprehensive analysis of the advantages and disadvantages of the two imaging.Result:The positive rate of Spiral CT and CR KUB imaging methods were 96% and 51%,the difference was statistically significant(χ2=23.76,P<0.05).CT was higher positive rate with common acute abdomen,especially for acute cholecystitis,abdominal tumors,acute pancreatitis positive rate of up to 100%.CR KUB for peptic ulcer perforation,abdominal foreign body was also positive rate of 100%,while acute pancreatitis,acute appendicitis,urinary tract stones,acute abdomen abdominal tumors positive rate were 0,35.7%,71.4% and 20.0%. Conclusion:CR KUB is a routine clinical screening method in patients with acute abdomen,while MSCT examination for higher accuracy of diagnosis of acute abdomen.