首页|经腹部浅表超声及多层螺旋CT对阑尾炎患者的检出率及诊断价值分析

经腹部浅表超声及多层螺旋CT对阑尾炎患者的检出率及诊断价值分析

Analysis of the Detection Rate and Diagnostic Value of Transabdominal Superficial Ultrasound and Multi-Slice Spiral CT in Patients with Appendicitis

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目的:探讨经腹部浅表超声及多层螺旋CT对阑尾炎患者的检出率及诊断价值分析.方法:选择2018年1月~2022年4月本院收治的40例阑尾炎患者作为研究对象,对其分别采用腹部浅表超声和多层螺旋CT进行诊断,观察两种方式的诊断准确率、对不同类型阑尾炎检出率、诊断效能和满意度.结果:多层螺旋CT检查的诊断准确率为95.00%,通过腹部浅表超声检查诊断准确率为62.50%,多层螺旋CT诊断率显著高于腹部浅表超声,差异具有统计学意义(P<0.05);多层螺旋CT在急性化脓性阑尾炎的检出率显著高于腹部浅表超声(P<0.05),坏疽性阑尾炎、阑尾穿孔、急性化脓性阑尾炎合并周围脓肿及7例慢性阑尾炎的检出率比较差异无统计学意义(P>0.05);多层螺旋CT诊断灵敏度高于腹部浅表超声诊断,而特异度低于腹部浅表超声;多层螺旋CT诊断满意度95.00%,高于腹部浅表超声的80.00%,差异具有统计学意义(P<0.05).结论:腹部浅表超声及多层螺旋CT检查方式均能够对阑尾炎早期具有诊断价值,若腹部浅表超声不能确诊可采用多层螺旋CT检查提高诊断率.
Objective:To investigate the detection rate and diagnostic value of transabdominal superficial ultrasonography and multi-slice spiral CT in patients with appendicitis.Methods:40 patients with appendicitis admitted to our hospital from January 2018 to April 2022 were taken as research objects.Superficial abdominal ultrasound and multi-slice spiral CT were used for diagnosis,respectively,to observe the diagnostic accuracy of the two methods,detection rate of different types of appendicitis,diagnostic efficacy and satisfaction.Results:The diagnostic accuracy of multislice spiral CT was 95.00%,and that of abdominal superficial ultrasound was 62.50%.The diagnostic rate of multislice spiral CT was significantly higher than that of abdominal superficial ultrasound,and the phase difference was statistically significant(P<0.05).The detection rate of multi-slice spiral CT in acute suppurative appendicitis was significantly higher than that of abdominal superficial ultrasound(P<0.05),but there was no significant difference in the detection rate of gangrenous appendicitis,appendix perforation,acute suppurative appendicitis with peripheral abscess and 7 cases of chronic appendicitis(P>0.05).The diagnostic sensitivity of multi-slice spiral CT is higher than that of superficial abdominal ultrasound,but the specificity is lower than that of superficial abdominal ultrasound.The diagnostic satisfaction of multi-slice spiral CT was 95.00%,which was higher than that of abdominal superficial ultrasound 80.00%,and the difference was statistically significant(P<0.05).Conclusion:Both superficial abdominal ultrasonography and multi-slice spiral CT can be used to diagnose appendicitis in the early stage.If the diagnosis cannot be confirmed by superficial abdominal ultrasonography,multi-slice spiral CT can be used to improve the diagnosis rate.

superficial abdominal ultrasoundmulti-slice spiral CTappendicitisdetection ratediagnostic performance

卢敏儿、李燕霞、黎兆平、曾秀芳

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东莞常安医院超声科(广东 东莞 523570)

腹部浅表超声 多层螺旋CT 阑尾炎 检出率 诊断效能

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(14)
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