The value of imaging examination in appendix related diseases to be diagnosed in gastroenterology department:a single-center study
Objective To explore the diagnostic value of imaging methods in appendix related diseases to be diag-nosed in gastroenterology department.Methods A retrospective analysis was performed on the patients who were select-ed for ultrasound and CT examination for appendiceal-related diseases to be diagnosed in the Department of Gastroenter-ology,Xuzhou Central Hospital from Jan.2021 to Dec.2022.According to the final diagnosis conclusion of surgery,digestive endoscopy or enhanced imaging,119 patients were divided into appendix related diseases group(n=56),non-appendix related diseases group(n=52),and appendicitis combined with other diseases group(n=11).Results The detection rates of ultrasonography in 3 groups were 98.21％,92.31％and 72.73％,respectively.The detection rates of CT in 3 groups were 91.07％,76.92％and 81.82％,respectively.The difference in the detection rates of ultrasound and CT in non-appendix related diseases group was statistically significant(x2=4.727,P＜0.05).Ultrasound was superior to CT in the presentation of subtle lesions and blood flow(appendiceal perforation,diverticulum,fine vascular lesions,and some critical illness-related diseases)and CT was superior to ultrasound in the presentation of high-density foreign bodies or lesions(date pit,stones/bezoars).Conclusion Imaging examination has high differential diagnosis value in appendix related diseases to be diagnosed in gastroenterology department,and the combined application is expected to realize low negative appendiceal operation rate.
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