16层螺旋CT平扫诊断成人急性阑尾炎的价值研究(1)
DOI：10.16662/j.cnki.1674-0742.2017.09.177
[摘要] 目的 探讨成人急性阑尾炎采取16层螺旋CT平扫的诊断价值。方法 方便选择该院2014年1月—2016年12月接诊的经术后病理证实为急性阑尾炎的成人患者60例作为研究对象，纳入研究对象有完整临床资料，自愿配合此次研究。该组患者术前均接受16层螺旋CT平扫与常规超声诊断，观察记录2种诊断方式诊断符合率，将术后病理诊断结果作为金标准，比较两种方式符合率，同时总结16层螺旋CT平扫影像学特点。 结果 16层螺旋CT平扫诊断16例成人急性阑尾炎符合率为90.00%，显著高于常规超声诊断符合率70.00%，差异有統计学意义(P<0.05)。 结论 16层螺旋CT平扫诊断成人急性阑尾炎符合率较高，且有自身的CT诊断征象，能为临床提供不错的参考依据，值得借鉴。
[关键词] 成人；急性阑尾炎；16层螺旋CT平扫；价值
[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-0742(2017)03(c)-0177-03
Research on Value of 16-slice Spiral CT Plain Scan in Diagnosis of Acute Appendicitis in Adults
WANG Yun-sheng
Department of Imaging， Gaoyi Hospital， Gaoyi， Hebei Province， 051330 China
[Abstract] Objective To study the value of 16-slice spiral CT plain scan in diagnosis of acute appendicitis in adults. Methods 60 cases of adults with acute appendicitis confirmed by the pathology after operation in our hospital from January 2014 to December 2016 were selected as the research objects and all patients in the group received the 16-slice spiral CT plain scan and routine ultrasound diagnosis before operation， and the diagnosis coincidence rate of the two diagnosis methods was observed and recorded， and the coincidence rate of the two methods was compared taking the postoperative pathological diagnosis results as the golden standards， at the same time， the imaging features of 16-slice spiral CT plain scan were summarized. Results The 16-slice spiral CT plain scan showed that the coincidence rate of acute appendicitis in 16 cases of adults was 90.00%， which was obviously higher than that of routine ultrasound diagnosis(90.00% vs 70.00%) ， The difference was statistically significant(P<0.05). Conclusion The coincidence rate of 16-slice spiral CT plain scan in diagnosis of acute appendicitis in adults is higher， and has its own CT diagnosis signs， which can provide a good reference for the clinic， and it is worth recommendation.
[Key words] Adult； Acute appendicitis； 16-slice spiral CT plain； Value
急性阑尾炎作为临床常见急腹症，约有1/3左右的患者因各类原因使得临床症状并不典型，极易造成误诊或漏诊[1]。近几年多层螺旋CT逐渐应用起来，其在临床诊断中逐渐广泛，使得阑尾炎的诊断符合率有所提高。多层螺旋CT诊断有着操作方便、快捷、准确等特点，加上其三维重建技术有立体影像定位与定量的优势[2]。为了进一步探讨16层螺旋CT平扫诊断成人急性阑尾炎的价值，该院针对2014年1月—2016年12月接诊的经术后病理证实为急性阑尾炎的成人患者60例进行了研究，现报道如下。
1 资料与方法
1.1 一般资料
此次研究方便选取研究对象60例，全部为该院接诊的成人急性阑尾炎患者。此次研究所有患者均有完整临床资料，经术后病理确诊，符合急性阑尾炎诊断标准[3]，自愿配合此次研究。60例患者中男性有33例，女性27例；年龄在20～71岁之间，均值(47.8±4.2)岁；病程在2～8 d之间，均值(4.8±1.1)d；临床表现主要有41例寒战、恶心35例、发热36例、呕吐22例、右下腹痛或者压痛33例、白细胞计数升高40例。, http://www.100md.com(王运生)
[摘要] 目的 探讨成人急性阑尾炎采取16层螺旋CT平扫的诊断价值。方法 方便选择该院2014年1月—2016年12月接诊的经术后病理证实为急性阑尾炎的成人患者60例作为研究对象，纳入研究对象有完整临床资料，自愿配合此次研究。该组患者术前均接受16层螺旋CT平扫与常规超声诊断，观察记录2种诊断方式诊断符合率，将术后病理诊断结果作为金标准，比较两种方式符合率，同时总结16层螺旋CT平扫影像学特点。 结果 16层螺旋CT平扫诊断16例成人急性阑尾炎符合率为90.00%，显著高于常规超声诊断符合率70.00%，差异有統计学意义(P<0.05)。 结论 16层螺旋CT平扫诊断成人急性阑尾炎符合率较高，且有自身的CT诊断征象，能为临床提供不错的参考依据，值得借鉴。
[关键词] 成人；急性阑尾炎；16层螺旋CT平扫；价值
[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-0742(2017)03(c)-0177-03
Research on Value of 16-slice Spiral CT Plain Scan in Diagnosis of Acute Appendicitis in Adults
WANG Yun-sheng
Department of Imaging， Gaoyi Hospital， Gaoyi， Hebei Province， 051330 China
[Abstract] Objective To study the value of 16-slice spiral CT plain scan in diagnosis of acute appendicitis in adults. Methods 60 cases of adults with acute appendicitis confirmed by the pathology after operation in our hospital from January 2014 to December 2016 were selected as the research objects and all patients in the group received the 16-slice spiral CT plain scan and routine ultrasound diagnosis before operation， and the diagnosis coincidence rate of the two diagnosis methods was observed and recorded， and the coincidence rate of the two methods was compared taking the postoperative pathological diagnosis results as the golden standards， at the same time， the imaging features of 16-slice spiral CT plain scan were summarized. Results The 16-slice spiral CT plain scan showed that the coincidence rate of acute appendicitis in 16 cases of adults was 90.00%， which was obviously higher than that of routine ultrasound diagnosis(90.00% vs 70.00%) ， The difference was statistically significant(P<0.05). Conclusion The coincidence rate of 16-slice spiral CT plain scan in diagnosis of acute appendicitis in adults is higher， and has its own CT diagnosis signs， which can provide a good reference for the clinic， and it is worth recommendation.
[Key words] Adult； Acute appendicitis； 16-slice spiral CT plain； Value
急性阑尾炎作为临床常见急腹症，约有1/3左右的患者因各类原因使得临床症状并不典型，极易造成误诊或漏诊[1]。近几年多层螺旋CT逐渐应用起来，其在临床诊断中逐渐广泛，使得阑尾炎的诊断符合率有所提高。多层螺旋CT诊断有着操作方便、快捷、准确等特点，加上其三维重建技术有立体影像定位与定量的优势[2]。为了进一步探讨16层螺旋CT平扫诊断成人急性阑尾炎的价值，该院针对2014年1月—2016年12月接诊的经术后病理证实为急性阑尾炎的成人患者60例进行了研究，现报道如下。
1 资料与方法
1.1 一般资料
此次研究方便选取研究对象60例，全部为该院接诊的成人急性阑尾炎患者。此次研究所有患者均有完整临床资料，经术后病理确诊，符合急性阑尾炎诊断标准[3]，自愿配合此次研究。60例患者中男性有33例，女性27例；年龄在20～71岁之间，均值(47.8±4.2)岁；病程在2～8 d之间，均值(4.8±1.1)d；临床表现主要有41例寒战、恶心35例、发热36例、呕吐22例、右下腹痛或者压痛33例、白细胞计数升高40例。, http://www.100md.com(王运生)