超声与多层螺旋CT对急性阑尾炎的诊断价值对比研究
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摘要
目的:探讨急性阑尾炎运用超声与多层螺旋CT诊断的临床价值。方法:选取2017年1月-2018年8月本院收治的急性阑尾炎患者80例作为研究对象,分别行超声和多层螺旋CT检查,对比两种检查方法的诊断准确率,分析急性阑尾炎的超声分型及影像学特征。结果:本研究80例患者中,5例为急性坏疽性阑尾炎,占6.25%;30例为急性化脓性阑尾炎,占37.50%;45例为急性单纯性阑尾炎,占56.25%。多层螺旋CT的诊断准确率为92.50%,超声检查为93.75%,两种检查方法的诊断准确情况对比,差异无统计学意义(x~2=0.753,P>0.05)。经临床病理分型,本研究80例患者中,4例为团块型,占5.00%;8例为阑尾结构不清楚型,占10.00%;16例为阑尾结构难辨型,占20.00%;52例为阑尾结构完整可辨型,占65.00%。经超声检查诊断,76例确诊,诊断准确率为95.00%。结论:在急性阑尾炎的临床诊断中,多层螺旋CT和超声检查均具有较高的准确率,但是与多层螺旋CT检查相比,超声检查具有价格便宜、可重复性好等优点,具有一定的推广价值。
Objective:To explore the clinical value of ultrasound and multi-slice spiral CT in the diagnosis of acute appendicitis.Method:A total of 80 patients with acute appendicitis admitted in our hospital from January 2017 to August 2018 were selected as the study objects.Ultrasound and multi-slice spiral CT were performed respectively.The diagnostic accuracy of the two methods was compared and the ultrasonographic typing and imaging characteristics of acute appendicitis were analyzed.Result:Among the 80 patients in this study, 5 cases were acute gangrene appendicitis,accounting for 6.25%;30 cases were acute suppurative appendicitis,accounting for 37.50% and 45 cases were acute simple appendicitis,accounting for 56.25%.The diagnostic accuracy of MSCT and Ultrasound was 92.50% and 93.75% respectively.There was no significant difference between the two methods( x~2=0.753,P>0.05). According to pathological classification,4 cases of the 80 patients in this study were mass type,accounting for 5.00%;8 cases were unclear appendix structure type,accounting for 10.00%;16 cases were difficult to distinguish appendix structure,accounting for 20.00%;52 cases were complete and distinguishable appendix structure type,accounting for 65.00%.76 cases were diagnosed by ultrasound and the diagnostic accuracy was 95.00%.Conclusion:In the clinical diagnosis of acute appendicitis,multi-slice spiral CT and ultrasound have high accuracy,but compared with multi-slice spiral CT,ultrasound has the advantages of low cost,good repeatability and has certain popularization value.
Objective:To explore the clinical value of ultrasound and multi-slice spiral CT in the diagnosis of acute appendicitis.Method:A total of 80 patients with acute appendicitis admitted in our hospital from January 2017 to August 2018 were selected as the study objects.Ultrasound and multi-slice spiral CT were performed respectively.The diagnostic accuracy of the two methods was compared and the ultrasonographic typing and imaging characteristics of acute appendicitis were analyzed.Result:Among the 80 patients in this study, 5 cases were acute gangrene appendicitis,accounting for 6.25%;30 cases were acute suppurative appendicitis,accounting for 37.50% and 45 cases were acute simple appendicitis,accounting for 56.25%.The diagnostic accuracy of MSCT and Ultrasound was 92.50% and 93.75% respectively.There was no significant difference between the two methods( x~2=0.753,P>0.05). According to pathological classification,4 cases of the 80 patients in this study were mass type,accounting for 5.00%;8 cases were unclear appendix structure type,accounting for 10.00%;16 cases were difficult to distinguish appendix structure,accounting for 20.00%;52 cases were complete and distinguishable appendix structure type,accounting for 65.00%.76 cases were diagnosed by ultrasound and the diagnostic accuracy was 95.00%.Conclusion:In the clinical diagnosis of acute appendicitis,multi-slice spiral CT and ultrasound have high accuracy,but compared with multi-slice spiral CT,ultrasound has the advantages of low cost,good repeatability and has certain popularization value.
引文
[1]董振宇.多层螺旋CT与超声对急性阑尾炎的诊断价值对比[J].医疗装备,2017,30(24):49.
[2]于洪涛,陶智慧,马勇,等.双源CT低剂量扫描技术在急性阑尾炎诊断中的应用价值[J].航空航天医学杂志,2017,28(12):1421-1423.
[3]刘新爱,王同明,任月勤.三种病理类型急性阑尾炎患者的临床体征及多层螺旋CT征象特点差异性分析[J].中国CT和MRI杂志,2017,15(8):124-127.
[4]李文生.多层螺旋CT腹部阑尾炎的诊断应用[J].中外医疗,2017,36(19):179-181,188.
[5]赵国庆.多层螺旋CT与超声对急性阑尾炎的临床诊断价值对比[J].内蒙古中医药,2017,36(11):85-86.
[6]刘太峰,龙德云.多层螺旋CT诊断急性阑尾炎的临床价值分析[J].医学影像学杂志,2017,27(5):985-987.
[7]刘锦龙.多层螺旋CT诊断急性阑尾炎临床价值观察[J].影像研究与医学应用,2017,1(5):140-141.
[8]王运生.16层螺旋CT平扫诊断成人急性阑尾炎的价值研究[J].中外医疗,2017,36(9):177-179.
[9]马财,陈文静,燕桂新.超声联合128层螺旋CT对老年人急性阑尾炎的诊断价值[J].实用医技杂志,2017,24(3):264-266.
[10]彭礼清,周友兴,张笑,等.老年人正常阑尾及急性阑尾炎阑尾的多层螺旋CT表现[J].中国普外基础与临床杂志,2016,23(12):1519-1524.
[11]贾艳荣,张浩亮,徐彦东.急性阑尾炎的CT诊断价值分析[J].世界最新医学信息文摘,2016,16(92):149-150.
[12]卢丙昌.多层螺旋CT对急性阑尾炎的诊断价值[J].世界最新医学信息文摘,2015,15(94):129,132.
[13]黄权生,刘华,杨鹏,等.多层螺旋CT在阑尾炎诊断中的应用价值[J].现代医用影像学,2015,24(2):217-219.
[14]陈海燕,黄娟,廖方勇,等.螺旋CT与高频彩超对非典型急性阑尾炎诊断的临床应用价值[J].西部医学,2015,27(4):595-597.
[15]曲姣,杨嘉,夏进东.仰卧位与左斜俯卧位低剂量腹部CT检查在阑尾病变显示中的对比分析[J].CT理论与应用研究,2015,24(1):95-101.
[16]张伟耀,邓惠玲,朱峰正,等.急性阑尾炎CT检查的辅助诊断价值及鉴别诊断思路[J].中国普外基础与临床杂志,2013,20(12):1414-1416.
[17]马志勇.急性阑尾炎的影像学表现及多排CT优势[J].河南医学研究,2013,22(4):586-588.
[18]李光明.李智锋.孙小会,等.多层螺旋CT征象诊断急性阑尾炎病理类型的价值[J].中国医学影像学杂志,2016,24(6):451-454.
[19]陈发祥,王卉,张树桐.CT对急性阑尾炎的诊断价值[J].实用放射学杂志,2018,10(6):845-849.
[20] Sauvain M O,Slankamenac K,Muller M K,et al.Delaying surgery to perform CT scans for suspected appendicitis decreases the rate of negative appendectomies without increasing the rate of perforation nor postoperative complications[J].Langenbecks Archives of Surgery,2016,401(5):643-649.
[2]于洪涛,陶智慧,马勇,等.双源CT低剂量扫描技术在急性阑尾炎诊断中的应用价值[J].航空航天医学杂志,2017,28(12):1421-1423.
[3]刘新爱,王同明,任月勤.三种病理类型急性阑尾炎患者的临床体征及多层螺旋CT征象特点差异性分析[J].中国CT和MRI杂志,2017,15(8):124-127.
[4]李文生.多层螺旋CT腹部阑尾炎的诊断应用[J].中外医疗,2017,36(19):179-181,188.
[5]赵国庆.多层螺旋CT与超声对急性阑尾炎的临床诊断价值对比[J].内蒙古中医药,2017,36(11):85-86.
[6]刘太峰,龙德云.多层螺旋CT诊断急性阑尾炎的临床价值分析[J].医学影像学杂志,2017,27(5):985-987.
[7]刘锦龙.多层螺旋CT诊断急性阑尾炎临床价值观察[J].影像研究与医学应用,2017,1(5):140-141.
[8]王运生.16层螺旋CT平扫诊断成人急性阑尾炎的价值研究[J].中外医疗,2017,36(9):177-179.
[9]马财,陈文静,燕桂新.超声联合128层螺旋CT对老年人急性阑尾炎的诊断价值[J].实用医技杂志,2017,24(3):264-266.
[10]彭礼清,周友兴,张笑,等.老年人正常阑尾及急性阑尾炎阑尾的多层螺旋CT表现[J].中国普外基础与临床杂志,2016,23(12):1519-1524.
[11]贾艳荣,张浩亮,徐彦东.急性阑尾炎的CT诊断价值分析[J].世界最新医学信息文摘,2016,16(92):149-150.
[12]卢丙昌.多层螺旋CT对急性阑尾炎的诊断价值[J].世界最新医学信息文摘,2015,15(94):129,132.
[13]黄权生,刘华,杨鹏,等.多层螺旋CT在阑尾炎诊断中的应用价值[J].现代医用影像学,2015,24(2):217-219.
[14]陈海燕,黄娟,廖方勇,等.螺旋CT与高频彩超对非典型急性阑尾炎诊断的临床应用价值[J].西部医学,2015,27(4):595-597.
[15]曲姣,杨嘉,夏进东.仰卧位与左斜俯卧位低剂量腹部CT检查在阑尾病变显示中的对比分析[J].CT理论与应用研究,2015,24(1):95-101.
[16]张伟耀,邓惠玲,朱峰正,等.急性阑尾炎CT检查的辅助诊断价值及鉴别诊断思路[J].中国普外基础与临床杂志,2013,20(12):1414-1416.
[17]马志勇.急性阑尾炎的影像学表现及多排CT优势[J].河南医学研究,2013,22(4):586-588.
[18]李光明.李智锋.孙小会,等.多层螺旋CT征象诊断急性阑尾炎病理类型的价值[J].中国医学影像学杂志,2016,24(6):451-454.
[19]陈发祥,王卉,张树桐.CT对急性阑尾炎的诊断价值[J].实用放射学杂志,2018,10(6):845-849.
[20] Sauvain M O,Slankamenac K,Muller M K,et al.Delaying surgery to perform CT scans for suspected appendicitis decreases the rate of negative appendectomies without increasing the rate of perforation nor postoperative complications[J].Langenbecks Archives of Surgery,2016,401(5):643-649.