多层螺旋ct低剂量扫描技术在儿童急性阑尾炎中的应用.docVIP

多层螺旋CT低剂量扫描技术在儿童急性阑尾炎中的应用 武林 杨复宾 苏州大学附属儿童医院放射科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨分析螺旋CT低剂量扫描技术在儿童急性阑尾炎诊断中的应用价值。方法 选取我院拟诊为急性阑尾炎的患儿60例, 使用随机数字法平均分为A组 (低剂量扫描) 及B组 (常规剂量扫描) , 将2组扫描后诊断结果与手术病理诊断结果进行对比分析, 计算2组的敏感性、特异性、阴性预测值、阳性预测值及准确度。结果 2组X射线剂量差异明显 (P0.05) , 各项图像指标及图像质量无明显差异 (P0.05) 。2组结果与手术病理诊断结果相比, A组CT诊断敏感性、阳性预测值、阴性预测值、特异性及准确度分别为97.1%、100%、84.3%、100%、97.0%;B组CT诊断敏感性、阳性预测值、阴性预测值、特异性及准确度分别为97.3%、100%、83.3%、100%、97.0%, 组间相比差异无统计学意义 (P0.05) 。结论 运用64排螺旋CT低剂量扫描技术诊断儿童急性阑尾炎具有简便有效、辐射小且准确率高等优点, 值得临床推广。 关键词： 阑尾炎; 体层摄影术, 螺旋计算机; 儿童; 作者简介：杨复宾, Email:yangfubin123@ 收稿日期：2017-05-12 The application of spiral CT low-dose scanning technique in acute appendicitis in children Wu Lin Yang Fubing Department of Radiology, Children′s Hospital of Soochow Univercity; Abstract： Objective To study the value of 64-slice spiral ct low-dose scanning technique in the diagnosis of in children, to determine its clinical significance in the treatment of acute appendicitis of the children. Methods Sixty children with acute appendicitis were selected and divided into group A (low dose scanning group) and group B (routine dose scanning) by random number method. The results were compared with those of pathology. The diagnostic results were compared and the sensitivity, specificity, negative predictive value, positive predictive value and accuracy of the two groups were calculated. Results The difference of X-ray dose between the two groups was significant (P0.05) , and there was no significant difference between the two indexes (P0.05) . Compared with the results of surgical diagnosis, the sensitivity, positive predictive value, specificity and accuracy of CT diagnosis were 97.1%, 100%, 84.3%, 100% and 97.0% respectively in group A The sensitivity, positive predictive value, negative predictive value, specificity and accuracy of CT were 97.3%, 100%, 83.3%, 100% and 97.0%, respectively. There was no significant difference between the two groups (P0.