MSCT薄层扫描对肥胖患者不典型急性阑尾炎的诊断价值（医学检验资料）.docVIP

MSCT薄层扫描对肥胖患者不典型急性阑尾炎的诊断价值（医学检验资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：MSCT薄层扫描对肥胖患者不典型急性阑尾炎的诊断价值 1 1 资料与方法 3 2 结果 4 3 讨论 4 文2：MSCT薄层增强扫描对早期胰腺癌的诊断价值 6 1 资料和方法 6 2 结果 7 3 讨论 7 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 10 正文 MSCT薄层扫描对肥胖患者不典型急性阑尾炎的诊断价值（医学检验资料） 文1：MSCT薄层扫描对肥胖患者不典型急性阑尾炎的诊断价值 [Abstract] Objective To investigate the diagnostic value of thin slice MSCT scanning in the diagnosis of atypical acute appendicitis in obese patients. Methods From May 2014 to May 2016， 60 cases of obese patients who were diagnosed as atypical acute appendicitis， which were selected as the study subjects. All accepted MSCT thin layer scanning， its MSCT characteristics was analyzed. The results of pathology and clinical treatment were standard， the effect of MSCT thin layer scanning on the diagnosis of atypical acute appendicitis in obese patients were observed. Results The main CT sig included enlargement of the appendix， calculus of appendix， effusion in appendix， blurring around the appendix， abscess of appendix， edema of the end of the appendix， small intestine. Outside diameter cm， average （±） cm. MSCT was diagnosed in 47 cases of acute appendicitis， excluding 13 cases of appendicitis， The results of pathology and clinical treatment were standard， a total of 54 cases were diagnosed correctly， 6 cases were misdiagnosed. Diagnostic seitivity， specificity and diagnostic accuracy were %， % and %， respectively. Conclusion MSCT thin layer scanning can clearly show the morphological characteristics of atypical acute appendicitis in obese patients， have high diagnostic value。 急性阑尾炎是普外科常见的急症，具有典型的临床症状和体征，根据病史、临床症状、体格检查及实验室检查，大多可以确诊，但由于阑尾位置异常、病变特征多样等因素，部分阑尾炎表现不典型，使诊断难度增大[1，2]。超声是急性阑尾炎常用的影像学检查方法，具有操作简便，软组织分辨率高的优点，临床诊断价值高，但在体质量指数30 kg/m2的肥胖患者，皮下及腹腔脂肪影响超声波的穿透，不利于阑尾病变的显示，导致诊断敏感性及准确率降低。多层螺旋CT（multi slice spiral CT，MSCT）根据组织密度及厚度的差异成像，脂肪组织呈明显的低密度，不影响腹腔内脏器的显示[3]。本研究中，通过MSCT薄层扫描对肥胖患者不典型急性阑尾炎进行诊断，探讨其诊断价值，现报道如下。 1 资料与方法 一般资料 选择2014年5月～2016年5月间我院普外科诊治的拟诊为急性阑尾炎患者60例为研究对象，其