螺旋CT与高频彩超用于诊断非典型急性阑尾炎的价值比较.docVIP

螺旋CT与高频彩超用于诊断非典型急性阑尾炎的价值比较 　　【摘要】 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（P0.05）。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（P0.05）。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。 　　【关键词】 急性阑尾炎； 非典型症状； 多层螺旋CT； 高频彩超； 诊断 　　【Abstract】 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 （P0.05）.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 （P0.05）； 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