摘要
目的评价64层螺旋CT多平面重组技术在降低腹腔镜阑尾切除术并发症及中转开腹手术发生率方面的临床应用价值。方法选取2014—2015年153例临床诊断为阑尾炎并行腹腔镜阑尾切除的病例作为对照组进行回顾性分析;选取2015—2016年152例诊断为阑尾炎的病例作为观察组,观察组常规行全腹部CT扫描并进行阑尾多平面重组,根据阑尾及腹腔内组织结构情况选择合适病例行腹腔镜阑尾切除术;比较观察组及对照组在腹腔镜阑尾切除术并发症发生率、中转开腹手术发生率方面的差异。结果观察组手术后并发症4例(2.63%),低于对照组18例(11.76%),两组间差异具有统计学意义(P<0.05);观察组组中转开腹手术0例,低于对照组5例(3.27%),两组间差异具有统计学意义(P<0.05)。结论 64层螺旋CT多平面重组技术可以明显降低腹腔镜阑尾切除术并发症及中转开腹手术发生率,在腹腔镜阑尾切除术术前评估方面具有重要价值。
Objective To evaluate the clinical application value of 64-slice spiral CT multiplanar reformation （MPR） in reducing the complications of laparoscopic appendectomy and the incidence of laparotomy. Methods A total of 153 patients with appendicitis who underwent laparoscopic appendectomy from 2014 to 2015 were retrospectively analyzed. A total of 152 patients diagnosed as appendicitis between 2015 and 2016 were selected as the experimental group. Performing scanning and appendectomy of experimental group, according to the appendix and intraperitoneal tissue structure to choose the appropriate ease of laparoscopic appendectomy. Comparing the difference of complications rate, the rate of conversion laparotomy between experimental group and control group in laparoseopic appendectomy. Results In the experimental group, 4 cases （2.63%） were lower than the control group of 18 cases （11.76%）, the difference was statistically significant （P〈0.05）. The cases of conversion laparotomy in experimental group was 0, which was 5 cases （3.27%） lower than the control group, the difference between the two groups was statistically significant （P〈0.05）, Conclusion 64-slice spiral CT multiplanar reconstruction can significantly reduce the incidence of laparoscopic appendectomy and laparoscopic appendectomy.
作者
李旭文
李忠
LI Xuwen LI Zhong(Medical lmaging CT Department, The Second Clinical Medical College of Inner Mongolia University for the Nationalities （Inner Mongolia Forestry General Hospital）, Yakeshi Inner Mongolia 022150, China)
出处
《中国继续医学教育》
2017年第9期89-91,共3页
China Continuing Medical Education
