急腹症应用腹部16排CT诊断的临床观察

Clinical Observation of Applying Abdominal 16-row Spiral CT Diagnosis for Acute Abdomen

目的探讨腹部16排CT在急腹症临床诊断中的应用价值。方法选取2013年10月至2015年10月我院收治的80例急腹症患者资料,回顾性分析患者的临床资料,分析腹部16排CT诊断的应用情况,将腹部16排CT诊断结果与病理诊断相对比。结果通过对患者进行16排CT诊断,结果显示有73例患者诊断正确,占有的比例为91.25%,其中漏诊或误诊的患者有7例,占有的比例为8.75%,其中胎盘早剥诊断的准确率为96.29%,黄体破裂诊断的准确率为62.50%,子宫穿孔诊断的准确率为100.00%,卵巢囊肿蒂扭转的准确率为83.33%。结论在急腹症临床诊断过程中,腹部16排CT诊断的准确率较高,可减少患者更多的痛苦,值得临床推广和应用。

Objective To explore the application value of abdominal 16-row spiral CT diagnosis for acute abdomen. Methods The data of 80 cases with acute abdomen treated in our hospital from October 2013 to October 2015 were analyzed retrospectively. The application of abdominal 16-row spiral CT diagnosis was analyzed. And the abdominal 16-row spiral CT diagnosis results were compared with pathological diagnosis. Results The abdominal 16-row spiral CT diagnosis results indicated that the diagnosis of 73 patients was right, which occupied by 91.25%. There were 7 patients with missed diagnosis or misdiagnosis, which occupied by 8.75%. The accuracy rate of abruptio placentae diagnosis was 96.29%, the accuracy rate of corpus luteum rupture diagnosis was 62.50%, and that of perforation of uterus was 100.00%. And the accuracy rate of ovarian cyst torsion was 83.33%. Conclusion In the clinical diagnosis process of acute abdomen, abdominal 16-row spiral CT Diagnosis not only has high accuracy, but also can reduce the pain of patients, which is worthy of clinical promotion and application.