中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
11期
61-62,63
,共3页
急性阑尾炎%非典型症状%多层螺旋CT%高频彩超%诊断
急性闌尾炎%非典型癥狀%多層螺鏇CT%高頻綵超%診斷
급성란미염%비전형증상%다층라선CT%고빈채초%진단
Acute appendicitis%Atypical symptoms%Spiral CT%Ultrasonography%Diagnostic
目的：比较分析螺旋CT与高频彩超用于诊断急性非典型阑尾炎的临床价值。方法：回顾性分析50例临床拟诊断急性非典型急性阑尾炎患者的病历资料，术前均行螺旋CT与高频彩超检查，以手术-病检结果为金标准，对比分析螺旋CT与高频彩超的检查结果。结果：术后病理诊断正常阑尾17例，急性阑尾炎33例（其中水肿性12例，蜂窝织炎性12例，坏疽性9例）。螺旋CT诊断非典型急性阑尾炎的敏感性、特异性、准确性均明显高于高频彩超，比较差异有统计学意义（P<0.05）。螺旋CT对急性水肿性及蜂窝织炎性阑尾炎诊断的正确率均高于高频彩超，比较差异有统计学意义（P<0.05）。对于坏疽性阑尾炎，螺旋CT与高频彩超均正确诊断，准确性为100％，比较差异无统计学意义。结论：在急性在非典型阑尾炎的诊断中，螺旋CT较高频彩超更有优势。对于疑诊急性非典型阑尾炎的患者，如高频彩超检查阴性，宜进一步行螺旋CT检查以明确诊断。
目的：比較分析螺鏇CT與高頻綵超用于診斷急性非典型闌尾炎的臨床價值。方法：迴顧性分析50例臨床擬診斷急性非典型急性闌尾炎患者的病歷資料，術前均行螺鏇CT與高頻綵超檢查，以手術-病檢結果為金標準，對比分析螺鏇CT與高頻綵超的檢查結果。結果：術後病理診斷正常闌尾17例，急性闌尾炎33例（其中水腫性12例，蜂窩織炎性12例，壞疽性9例）。螺鏇CT診斷非典型急性闌尾炎的敏感性、特異性、準確性均明顯高于高頻綵超，比較差異有統計學意義（P<0.05）。螺鏇CT對急性水腫性及蜂窩織炎性闌尾炎診斷的正確率均高于高頻綵超，比較差異有統計學意義（P<0.05）。對于壞疽性闌尾炎，螺鏇CT與高頻綵超均正確診斷，準確性為100％，比較差異無統計學意義。結論：在急性在非典型闌尾炎的診斷中，螺鏇CT較高頻綵超更有優勢。對于疑診急性非典型闌尾炎的患者，如高頻綵超檢查陰性，宜進一步行螺鏇CT檢查以明確診斷。
목적：비교분석라선CT여고빈채초용우진단급성비전형란미염적림상개치。방법：회고성분석50례림상의진단급성비전형급성란미염환자적병력자료，술전균행라선CT여고빈채초검사，이수술-병검결과위금표준，대비분석라선CT여고빈채초적검사결과。결과：술후병리진단정상란미17례，급성란미염33례（기중수종성12례，봉와직염성12례，배저성9례）。라선CT진단비전형급성란미염적민감성、특이성、준학성균명현고우고빈채초，비교차이유통계학의의（P<0.05）。라선CT대급성수종성급봉와직염성란미염진단적정학솔균고우고빈채초，비교차이유통계학의의（P<0.05）。대우배저성란미염，라선CT여고빈채초균정학진단，준학성위100％，비교차이무통계학의의。결론：재급성재비전형란미염적진단중，라선CT교고빈채초경유우세。대우의진급성비전형란미염적환자，여고빈채초검사음성，의진일보행라선CT검사이명학진단。
Objective:To compare the clinical value of spiral CT with high-frequency ultrasound in the diagnosis of atypical acute appendicitisl.Method:To retrospectively analyze the medical records of 50 patients with clinical diagnosis of atypical acute appendicitisl.Before surgery,patients were given spiral CT and high frequency ultrasound examination to surgery-pathology results as the gold standard,the results of the spiral CT and high-frequency ultrasonography were compared and analyzed.Result:Pathological diagnosis:normal appendix 17 cases,33 cases of acute appendicitis(12 cases of edema,cellulitis for 12 cases,9 cases of gangrenous).Spiral CT diagnosis of acute appendicitis atypical sensitivity,specificity and accuracy were significantly higher than those of the high-frequency ultrasound between the two groups,which was statistically significantly different(P<0.05).Spiral CT in acute edema and cellulitis appendicitis diagnosis the correct rate was higher than that of the high-frequency ultrasound,the difference was statistically significant(P<0.05);for gangrenous appendicitis,spiral CT were correctly diagnosed with high-frequency ultrasound,the accuracy was 100%,the difference was not statistically significant.Conclusion:In the diagnosis of acute appendicitis in the atypical,the spiral CT high-frequency ultrasound advantage.For suspected acute appendicitis in patients with atypical,such as high-frequency ultrasound examination is negative,should further spiral CT scan to confirm the diagnosis.
