64层CT在急腹症诊断中的应用价值

The Clinical Value of 64 Slice Spiral CT Examination in Acute Abdominal Disease

目的探讨64层CT在急腹症诊断中的应用价值。方法回顾性分析郴州市第三人民医院收治的经手术或临床综合诊断证实的126例急腹症的64层CT资料。采用多平面重组(MPR)、最大密度投影(MIP)、容积再现(VRT)等多种后处理技术,进行图像重组,并分析其表现。结果 126例急腹症病例中,病因诊断正确率90.8%,包括肠梗阻38例,胃肠穿孔21例,急性胆囊炎26例,胰腺炎21例,泌尿系结石23例,阑尾炎9例,宫外孕3例,卵巢扭转1例。肿瘤破裂出血2例。结论 64层CT能够较全面的反映急腹症的病情,并对病变做出及时、准确的诊断,为临床医师制定合理的治疗方案提供客观依据。

Objective To assess to value of 64 slice spiral CT in diagnosis of acute abdominal disease.Methods 126 patients with acute abdominal disease were studied retrospectively.All the cases performed routine abdominal scan,MPR,MIP,VRT.Results The etiological diagnosis accuracy rate is 90.8% in 126 patients of acute abdominal disease including intestinal obstruction 38 cases,gastrointestinal perforation 21 cases,acute cholecystitis 26 cases,pancreatitis 21 cases,urinary stone 23 cases,appendicitis 9 cases,ectopic pregnancy 3 cases,ovarian torsion 1 cases,tumor rupture 2 cases.Conclusion Acute abdominal disease can be all round showed by examination of the 64-slice spiral CT,and promptly and accurately diagnosis the diseases,to provided objective evidence for enacting advisable therapeutic schedule.