MSCT与超声检查对小儿急腹症的诊断价值研究

Diagnostic value on MSCT and ultrasonography in children with acute abdomen and analysis on misdiagnosis

目的:探讨多层螺旋CT(MSCT)与超声对小儿急腹症的诊断价值。方法:收治急腹症患儿211例。将患儿分为3组,分别行MSCT、超声、MSCT及超声联合检查。结果:MSCT组病变检出率87.6%(99/113),诊断符合率86.7%(98/113)。超声组病变检出率81.6%(80/98),诊断符合率80.6%(79/98)。联合检查组病变检出率89.7%(35/39),诊断符合率89.7%(35/39),各组间差异无统计学意义(P>0.05)。结论:小儿急腹症的诊断中,MSCT与超声诊断价值相仿,两者联合检查不能提高诊断价值;在怀疑急性阑尾炎,且超声检查阴性的情况下,应该进一步选择MSCT检查。

Objective：To explore the diagnostic value of multisliecs spiral CT and ultrasound in children with acute abdomen.Methods：211 children with acute abdomen were selected.The children were divided into 3 groups,and given MSCT,ultrasound,MSCT and ultrasonic examination respectively.Results：The detection rate of pathological changes in MSCT group was 87.6%（99/113）,and the diagnostic coincidence rate was 86.7%（98/113）.The detection rate of ultrasound group was 81.6%（80/98）,and the diagnostic coincidence rate was 80.6%（79/98）.The detection rate of pathological changes in the combined examination group was89.7%（35/39）,and the diagnostic coincidence rate was 89.7%（35/39）.There was no statistical difference between each group（P〉0.05）.Conclusion：The diagnostic value of MSCT is similar to that of ultrasonography in the diagnosis of acute abdomen in children.The combined examination can not improve the diagnostic value.In the case of suspected acute appendicitis and negative ultrasonic examination,MSCT examination should be further selected.