多层螺旋CT低剂量扫描技术在儿童急性阑尾炎中的应用.docxVIP

实用医学影像杂志 2017,05(18),383-385 DOI: 10.16106/j.cnki.cn 14-1281 /r.2017.05.006 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 导出/参考文献关注 分享 收藏打印 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，Ema订:yangfubin 123@sina. com 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, Ch订dren s Hospital of Soochow Univercity; Abstract： Objective To study the value of 64-si ice spiral ct low-dose searrning technique in the diagnosis of in chi 1dren, to determine its clinical significancc in the trcatment of acute appcndicitis of the childrcn. Methods Sixty children with acute appendic it is were selec ted and divided into group A (low dose scanning group) and group B (routine dose scanning) by random nu mb er method. The results were compared with those of pathology. The diagnostic resuIts were compared and the sensitivity, specificity, negativc prcdictivc value, positivc prcdictive 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 differenee between the two indexes (P0. 05) . Compared with the resuIts 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 differenee betwee