摘要
目的 探讨影像学方法在消化科拟诊阑尾相关疾病中的诊断价值.方法 回顾性分析2021年1月至2022年12月我院消化科拟诊阑尾相关疾病而选择超声、CT检查患者的临床资料,根据手术、消化内镜或增强影像学最终确诊结论,将119例患者分为阑尾相关疾病组(56例)、非阑尾相关疾病组(52例)、阑尾炎合并其他疾病组(11例).结果 超声在阑尾相关疾病组、非阑尾相关疾病组、阑尾炎合并其他疾病组中的检出率分别为98.21％、92.31％和72.73％;CT在阑尾相关疾病组、非阑尾相关疾病组、阑尾炎合并其他疾病组中的检出率中分别为91.07％、76.92％和81.82％.超声、CT在非阑尾相关疾病组中的检出率差异有统计学意义(x2=4.727,P＜0.05),超声对细微病变和血流(阑尾穿孔、小憩室、细小血管病变、部分涉危急值疾病)的显示优于CT,CT对高密度异物或病变(枣核、结石/粪石)的显示优于超声.结论 影像学检查在消化科拟诊阑尾相关疾病中有较高的鉴别诊断价值,超声和CT联合应用有望实现低阴性阑尾手术率.
Abstract
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.
基金项目
徐州医科大学附属医院发展基金(XYGM202209)
NETL
NSTL
万方数据