Objective To compare the efficiencies of multi-slice spiral CT(MSCT)and ultrasound in the diagnosis of acute appendicitis.Methods A total of 125 patients with suspected acute appendicitis admitted to our hospital from May 2020 to January 2023 were selected.All patients were examined by MSCT and ultrasound,and the MSCT and ultrasound imaging manifestations of acute appendicitis were analyzed.Based on the results of surgical pathology,the efficiencies of MSCT and ultrasound in the diagnosis of acute appendicitis were compared.Results The consistency between MSCT and surgical pathological diagnosis results was good(Kappa=0.914,P＜0.001),and the consistency between ultrasound and surgical pathological diagnosis results was general(Kappa=0.731,P＜0.001).The sensitivity,specificity and accuracy of MSCT in the diagnosis of acute appendicitis were significantly higher than those of ultrasound(P＜0.05).Conclusions Both MSCT and ultrasound have certain value in the diagnosis of acute appendicitis,but MSCT has higher diagnostic efficiency than ultrasound,which can reduce the risk of missed diagnosis and misdiagnosis.
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