64排螺旋CT扫描对盆腔急腹症的诊断价值

Value of 64-slice spiral CT in diagnosis of pelvic acute abdomen

目的探讨64排螺旋CT对盆腔急腹症的诊断价值。方法选取2010年1月至2015年12月诊治的107例急腹症患者,经手术病理证实或临床确诊为盆腔病变,分析64排螺旋CT检查的病变发现率及诊断符合率。结果 107例患者CT共检出病变105例:泌尿系病变52例、妇科病变49例、肠道病变4例,漏诊2例泌尿系结石,误诊4例妇科病变,病变检出率为98.1%(105/107),诊断符合率为94.3%(101/107)。结论 CT扫描对于盆腔急腹症病变检出率及诊断符合率均较高,有重要的临床价值。

Objective To study the value of 64-slice spiral CT in diagnosis of pelvic acute abdomen.M ethods From January 2010 to December 2015,107 cases of patients with acute abdomen for diagnosis and treatment were selected,they were confirmed by surgery and pathology or clinical diagnosis of pelvic lesions. The lesion detection rate and the etiological diagnostic accuracy of the 6 4-slice spiral CT examination was analyzed. Results A total of 1 0 7 cases of CT were detected in 1 0 5 patients： urinary tract lesions in 5 2 cases,gynecological diseases in 4 9 cases,intestinal lesions in 4 cases. Miss diagnosis of urological stone in 2 cases,misdiagnosis of 4 cases of gynecological diseases. The lesion detection rate was 9 8. 1 %（ 1 0 5 /1 0 7）,and the etiological diagnostic accuracy was 94. 3%（ 101 /107）.Conclusion CT scanning for pelvic acute abdomen lesion detection rate and diagnosis rate were higher,it has important clinical value.