CAJ | 학술논문

目的：探讨CT应用于急性阑尾炎诊断的临床价值。方法整群选取2013年12月-2014年12月期间笔者所在医院收治的52例急性阑尾炎患者，对其分别行CT检查与X检查，对两种方法的检测结果进行统计分析，比较诊断准确率和临床价值。结果手术病理证实急性单纯性阑尾炎9例X线检出3例；CT检出5例，正确分型5例。急性化脓性阑尾炎37例，X线检出23例；CT检出33例，正确分型30例。穿孔性阑尾炎或者急性坏疽性6例，X线检出1例；CT检出4例，正确分型3例。 X线的总检出率51.9%，CT的总检出率为80.8%，X线的总检出率为显著低于CT检出率，差异有统计学意义（χ2=4.60，P=0.03约0.05）。结论与X线检查比较，CT对急性阑尾炎的诊断及分型具有更高的临床应用价值。
목적：탐토CT응용우급성란미염진단적림상개치。방법정군선취2013년12월-2014년12월기간필자소재의원수치적52례급성란미염환자，대기분별행CT검사여X검사，대량충방법적검측결과진행통계분석，비교진단준학솔화림상개치。결과수술병리증실급성단순성란미염9례X선검출3례；CT검출5례，정학분형5례。급성화농성란미염37례，X선검출23례；CT검출33례，정학분형30례。천공성란미염혹자급성배저성6례，X선검출1례；CT검출4례，정학분형3례。 X선적총검출솔51.9%，CT적총검출솔위80.8%，X선적총검출솔위현저저우CT검출솔，차이유통계학의의（χ2=4.60，P=0.03약0.05）。결론여X선검사비교，CT대급성란미염적진단급분형구유경고적림상응용개치。
Objective To investigate the clinical application value of CT in the diagnosis of acute appendicitis. Methods 52 cases of patients with acute appendicitis were selected from the hospital treated during December 2013 to December 2014, and were re-spectively treated by CT examinations and X examination, the test results of the two methods was analyzed to compare the diag-nostic accuracy and clinical value. Results 9 cases of acute simple appendicitis were confirmed by surgical pathology, 3 cases were detected by X-ray, 5 cases were detected by CT, 5 cases were correctly classified. There were 37 cases of acute suppurative appendicitis, 23 cases were detected by X-ray, 33 cases were detected by CT, 30 cases were correctly classified. 6 cases were a-cute gangrenous or perforated appendicitis, 1 case were detected by X-ray, 4 cases were detected by CT, 3 cases were correctly classified. The total positive rate of CT was 51.9%, the total positive rate of was significantly lower than CT, and the difference was statistically significant (χ2=4.60,P=0.03<0.05). Conclusion CT has higher clinical value in diagnosis and differential for acute ap-pendicitis.