多排螺旋CT对穿孔性与非穿孔性阑尾炎的鉴别诊断价值

The value of Multi Slice Spiral CT in the Differential Diagnosis of Perforated and Non Perforated Appendicitis

目的分析多排螺旋CT对穿孔性与非穿孔性阑尾炎的鉴别诊断价值。方法选择2014年7月至2015年6月接收检查治疗的132例阑尾炎患者作为研究对象,所有患者均通过手术病理诊断进行确诊。其中非穿孔性阑尾炎患者76例、穿孔性阑尾炎患者56例。应用螺旋CT对患者进行诊断,评价诊断结果。结果阑尾炎的直接征象为蜂窝组织炎、阑尾周围积气等,螺旋CT检查对于穿孔性阑尾炎具有更高的诊断特异度,穿孔性阑尾炎患者的阑尾直径大于非穿孔性阑尾炎患者,差异有统计学意义(P<0.05);两组患者的阑尾腔内粪石、阑尾腔内气体等检出率比较,差异无统计学意义(P>0.05)。结论螺旋CT诊断阑尾炎具有快速、有效地特点,尤其是对穿孔性阑尾炎的诊断特异度高,具有较高的价值。

Objective To analyze the differential diagnostic value of multi - slice spiral CT in perforated and non - perforated appendicitis. Methods 132 cases were sampled from July 2014 to June 20]5 in our hospital, all the patients were diagnosed by surgical pathology diagnosis, including 76 patients with non - perforated appendicitis and 56 patients with perforated appendicitis. Application of spiral CT to evaluate the disease. Results The direct signs of appendix conposed cellulitis appendicitis and the product gas. Spiral CT applied in perforated appendicitis has a higher diagnostic specificity, patients with perforated appendicitis appendix diameter greater than non - perforated appendicitis patients, the difference was statistically significance （ P 〈 0.05 ） . The two groups of patients appendix cavity bezoar, appendix gas in the chamber, such as performance is no statistical significance （ P 〉 0.05 ） . Conclusion The diagnosis of spiral CT for appendicitis has a fast, efficient features, especially for perforated appendicitis diagnosis.