MSCT在急腹症临床诊断价值

The Value of Multi-Slice Spiral CT in the Diagnosis of Acute Abdomen

目的:探讨多层螺旋CT(MSCT)及重建技术在急腹症临床诊断价值。材料与方法:收集我院2012年1月至2015年1月患有急腹症患者共185例的多层螺旋CT表现,主要利用MPR技术,必要时应用MIP、CPR、VRT,对图像进行二维或三维重建,并与手术、病理或临床随访结果对比。结果:本组共185例,CT诊断符合173例,诊断符合率93.5%,漏诊5例,误诊7例,漏误诊率6.48%。结论:多层螺旋CT检查方便、快捷,结合三维重建技术,能直观显示急腹症病变部位、原因、程度、范围,为临床医生及时诊断和选择治疗方案提供重要参考依据。

Purpose： To investigate the Clinical diagnostic value of the application of Multi slice spiral CT（ MSCT）and reconstruction techniques. Materials and Methods： Collected 185 cases of acute abdomen using the multi-slice spiral CT（ MSCT） and reconstruction techniques,in our hospital from 2012 January to 2015 January. Most of the cases used the MPR technology,also used MIP,CPR,VRT to reconstruct the two-dimensional or three-dimensional image,and compared with operation,pathology or clinical follow-up results,when necessary. Results： In these 185 cases,there are 175 cases of CT diagnosis were accurate. And the accuracy rate is 93. 52%. 5 cases were missed diagnosis. 7 cases were misdiagnosed. And the rate of missed diagnosis and misdiagnosis is 6. 48%. Conclusion： Inspection methods of multi-slice spiral CT in acute abdomen is convenient,by suing 3D reconstruction technology,we can quickly and directly show the degree and scope of lesions,causes of acute abdominal pain,and can provide an important basis for clinical diagnosis and treatment.