CT在腹部外科的应用

The use of CT in abdominal surgery

本文总结212例腹部外科疾病 CT 检查及手术治疗的临床资料,将术前 CT 诊断与手术诊断作对比分析。结果表明,CT 对腹部外科实质性脏器如肝、胰等疾病的定位准确率甚高,分别为97.2%及94.1%;而对胃肠系统疾病的定位准确率较低,为53.2%。全组总的定位诊断准确率为78.3%;在定性诊断方面 CT 检查有一定局限性,总的定性准确率为61.3%,也能为临床提供有用的资料。认为 CT 检查对提高腹部外科的诊断水平有重要作用。文章提出了腹部外科各种疾病的 CT 诊断要点,指出外科医师应熟悉 CT 检查基本知识和掌握CT 检查的适应证。

The clinical materials of CT examination and operation in 212 patients with surgical abdominal diseases were summarized.The preoperative CT diagnosis was compared with operative diagnosis,The results showed that the correct rate for the location of parerchymal organic diseases such as hepatic and pancreatic diseases was high (97.2% and 94.1% respectively).The correct rate for gastrointestinal diseases was 53.2%.The correct rate in localization was 78.3% in average.CT exa- mination has the limitation in determining the nature of the lesion.The correct qualitative diagnostic rate was 61.3% in this series.CT scan has played an important role in providing the adequate approach for abdominal surgery.In this paper,the CT diagnostic main points of abdominal surgical diseases are put forward.Being familiar with the basic knowledge and mastering the indications of CT examination are important.