常见非创伤性急腹症的螺旋CT诊断

Spiral CT Diagnosis of Common atraumatic acute abdomen

目的探讨常见非创伤性急腹症的SCT的表现及应用价值。方法回顾性对照分析165例常见非创伤性急腹症螺旋CT诊断与临床诊断结果(包括手术及病理结果)。结果本组病例165例诊断符合154例,诊断符合率为93.3%,误诊、漏诊11例,误诊率约为6.7%。结论螺旋CT是非创伤性急腹症最有效的影像诊断方法,对疾病的范围、程度、定量、定性的判断有较大价值,有助于临床诊断及治疗。

Objective To explore the spiral CT imaging manifestations and to evaluate its value in atraumatic acute abdomen. Methods The results of spiral CT diagnosis and clinical diagnosis （including the results of operation and patheology ） were compared in 165 patients with atraumatic acute abdomen.Results Among 165 cases,the cases corresponding to the clinical diagnosis were 154, the corresponding diagnosis rate was 93.3 %, all the cases of the misdiagnosis and miss-diagnosis were 11, the rate of misdiagnosis and misdiagnosis was 6.7 %. Conclusion Spiral CT is most effective imaging diagnosis method in acute abdomen. It has much more value to evaluate disease＇s range and extent from quantity and nature. It plays an important role in clinical diagnosis and treatment of acute abdomen.