中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
2期
95-95,97
,共2页
多排螺旋CT%急腹症%临床应用
多排螺鏇CT%急腹癥%臨床應用
다배라선CT%급복증%림상응용
Multi slice spiral CT%Acute abdomen%Clinical application
目的：探讨和研究多排螺旋 CT 技术在急腹症中的临床诊断和应用价值，为治疗急腹症患者提供参考。方法：2011年12月-2013年12月收治急腹症患者168例，使用多排螺旋CT仪器进行扫描和重建技术，对比临床病理结果进行分析。结果：急性阑尾炎病理确诊33例，多排螺旋CT诊断31例；急性肠梗阻病理确诊28例，多排螺旋CT诊断26例；泌尿系统结石病理确诊27例，多排螺旋 CT 诊断26例；急性胰腺炎病理确诊31例，多排螺旋 CT 诊断29例；急性胆囊炎病理确诊18例，多排螺旋CT诊断17例；其他(胃肠道穿孔和腹腔血管病变等)病理确诊31例，临床检查准确29例，且均 P＞0.05，差异不具有统计学意义。结论：多排螺旋 CT 技术在诊断急腹症方面具有明显的效果，诊断过程快捷方便且具有较高的特异性和准确性，具有临床参考和推广价值。
目的：探討和研究多排螺鏇 CT 技術在急腹癥中的臨床診斷和應用價值，為治療急腹癥患者提供參攷。方法：2011年12月-2013年12月收治急腹癥患者168例，使用多排螺鏇CT儀器進行掃描和重建技術，對比臨床病理結果進行分析。結果：急性闌尾炎病理確診33例，多排螺鏇CT診斷31例；急性腸梗阻病理確診28例，多排螺鏇CT診斷26例；泌尿繫統結石病理確診27例，多排螺鏇 CT 診斷26例；急性胰腺炎病理確診31例，多排螺鏇 CT 診斷29例；急性膽囊炎病理確診18例，多排螺鏇CT診斷17例；其他(胃腸道穿孔和腹腔血管病變等)病理確診31例，臨床檢查準確29例，且均 P＞0.05，差異不具有統計學意義。結論：多排螺鏇 CT 技術在診斷急腹癥方麵具有明顯的效果，診斷過程快捷方便且具有較高的特異性和準確性，具有臨床參攷和推廣價值。
목적：탐토화연구다배라선 CT 기술재급복증중적림상진단화응용개치，위치료급복증환자제공삼고。방법：2011년12월-2013년12월수치급복증환자168례，사용다배라선CT의기진행소묘화중건기술，대비림상병리결과진행분석。결과：급성란미염병리학진33례，다배라선CT진단31례；급성장경조병리학진28례，다배라선CT진단26례；비뇨계통결석병리학진27례，다배라선 CT 진단26례；급성이선염병리학진31례，다배라선 CT 진단29례；급성담낭염병리학진18례，다배라선CT진단17례；기타(위장도천공화복강혈관병변등)병리학진31례，림상검사준학29례，차균 P＞0.05，차이불구유통계학의의。결론：다배라선 CT 기술재진단급복증방면구유명현적효과，진단과정쾌첩방편차구유교고적특이성화준학성，구유림상삼고화추엄개치。
Objective:To explore and research clinical diagnosis and application value of multi detector row spiral CT technology in acute abdomen,in order to provide reference for the treatment of patients with acute abdomen.Methods:168 patients with acute abdomen were selected from December 2011 to December 2013.They were scanning and reconstruction technique using multi detector row spiral CT instrument,then we analyzed comparative clinical and pathological results.Results:Among 33 cases of acute appendicitis that were diagnosised by the pathological,there were 31 cases truely diagnosised by multi slice spiral CT;26 cases of acute intestinal were diagnosed by multi slice spiral CT among those 28 cases that diagnosed by obstruction pathology;in addation, 26 cases of urinary calculi,26 cases of acute pancreatitis and 17 cases of acute cholecystitis were diagnosised by multi slice spiral CT among 27 cases of urinary calculi,31 cases of acute pancreatitis and 18 cases of acute cholecystitis which were pathological diagnosised;there were 31 cases(perforation of gastrointestinal tract and abdominal vascular lesions) diagnosised through pathological,and 29 cases were accurately diagnosed by clinical examination.The differences were not statistically significant(P>0.05).Conclusion:Multi slice spiral CT technology has obvious effect in the diagnosis of acute abdomen,and the diagnosis process is convenient and fast,while it also has higher specificity and accuracy,so it worthy of clinical reference and popularization.
