摘要
目的：探究螺旋CT薄层重建对急性阑尾炎的诊断价值。方法选取2015年8月～2016年8月我院收治的86例阑尾炎患者资料进行回顾性分析，先行腹部平扫或增强扫描，再行CT薄层重建，使用轴位连续动态观察，将诊断结果和术后病理进行对照，分析总结CT表现。结果86例患者中，3例患者经保守治疗后出院；3例单纯急性阑尾炎，诊断结果不明确；总体诊断准确率为96.51%，漏诊率为3.49%。结论多层螺旋CT扫描图像进行薄层重建，并经轴位连续动态观察，可使急性阑尾炎患者诊断准确率提高。
Objective To analyze the value of spiral CT thin layer reconstruction in the diagnosis of acute appendicitis. Methods From August 2015 to August 2016, 86 cases of patients with acute appendicitis were retrospectively analyzed. Abdominal scan or enhanced scan was performed ifrstly, then CT thin layer was reconstructed. With a continuous dynamic observation, CT diagnosis was compared with pathological result. Comprehensive CT signs were analyzed.ResultsIn 86 cases, three cases underwent conservative treatment, and three cases were simple acute appendicitis which diagnosis is not clear. The diagnostic accuracy rate was 96.51% and the missed diagnosis rate was 3.49%.Conclusion Multi-slice CT scan with thin layer reconstruction, with continuous dynamic observation, could make a relatively fair for acute appendicitis diagnosis.
出处
《中国继续医学教育》
2016年第29期49-51,共3页
China Continuing Medical Education
关键词
螺旋CT薄层重建
阑尾炎
诊断
Spiral CT thin layer reconstruction
Appendicitis
Diagnosis
