CAJ | 학술논문

目的：比较多层螺旋CT(MSCT)与超声对急性阑尾炎的诊断价值。方法以我院2013年1月-2015年6月经手术病理证实的60例急性阑尾炎患者为研究对象，术前均分别行超声、腹部多层螺旋CT检查，观察分析两者图像特征，并与手术病理结果对照。结果与手术病理结果对照， MSCT对急性单纯性阑尾炎、急性化脓性阑尾炎、，急性坏疽性阑尾炎诊断相符率分别为78.6%、100.0%、100.0%；超声对急性单纯性阑尾炎、急性化脓性阑尾炎、急性坏疽性阑尾炎诊断相符率分别为57.1%、85.2%、100.0%。MSCT对急性化脓性阑尾炎诊断相符率明显高于超声检查，差异有统计学意义(P＜0.05)。结论相比超声，多层螺旋CT对急性阑尾炎诊断符合率更高，特别是急性化脓性阑尾炎。
목적：비교다층라선CT(MSCT)여초성대급성란미염적진단개치。방법이아원2013년1월-2015년6월경수술병리증실적60례급성란미염환자위연구대상，술전균분별행초성、복부다층라선CT검사，관찰분석량자도상특정，병여수술병리결과대조。결과여수술병리결과대조， MSCT대급성단순성란미염、급성화농성란미염、，급성배저성란미염진단상부솔분별위78.6%、100.0%、100.0%；초성대급성단순성란미염、급성화농성란미염、급성배저성란미염진단상부솔분별위57.1%、85.2%、100.0%。MSCT대급성화농성란미염진단상부솔명현고우초성검사，차이유통계학의의(P＜0.05)。결론상비초성，다층라선CT대급성란미염진단부합솔경고，특별시급성화농성란미염。
Objective To compare the diagnostic value of multi-slice spiral CT (MSCT) and ultrasound in acute appendicitis.Methods 60 cases of patients with acute appendicitis confirmed by surgery and histopathology who were admitted into the hospital during January 2013 to June 2015 were selected as the research objects. Ultrasound and abdominal multi-slice spiral CT were performed before surgery. The image features of the two were observed and analyzed. The results were compared with surgical and pathological findings.Results Compared with surgical and pathological findings, the accordant rates of MSCT in the diagnosis of acute simplex appendicitis, acute purulent appendicitis and acute gangrenous appendicitis were 78.6%, 100.0% and 100.0% while of ultrasound were 57.1%, 85.2% and 100.0%. The diagnostic accordant rate of MSCT in acute suppurative appendicitis was significantly higher than that of ultrasound and the difference was statistically significant (P<0.05).Conclusion Compared with ultrasound, the diagnostic accordant rate of MSCT in acute appendicitis is higher, especially in acute suppurative appendicitis.