64排螺旋CT多平面重建在急腹症诊断的临床应用

Clinical application of 64-slice spiral CT multiplane reconstruction in diagnosis of acute abdomen

目的:探讨64排螺旋CT多平面重建在急腹症患者中的临床价值。方法:选择2017年5月-2018年12月治疗的急腹症患者89例作为对象,所有患者均经手术或临床诊断确诊,确诊前均拟型64排螺旋CT检查,将获得的图像、数据进行多平面重建,并将CT检查结果与手术或临床检查结果进行比较。结果:89例患者经手术或临床检查最终确诊,排在前三位的分别为急性阑尾炎、急性肠穿孔、急性胰腺炎,分别占38.20%、22.47%和14.61%。手术前所有患者均完成64排螺旋CT多平面重建检查,最终确诊86例,与手术或临床检查符合率为96.63%(P>0.05)。结论:将64排螺旋CT多平面重建用于急腹症急症患者中能帮助患者早期确诊,具有无创、高效、可重复性强等优点,能为临床诊疗提供依据和参考,值得推广应用。

Objective To explore the diagnostic effect of 64-slice spiral CT multiplane reconstruction in patients with acute abdomen.Methods 89 patients with acute abdomen who were treated from May 2017 to December 2018 were selected as objects.All patients were diagnosed by surgery or clinical diagnosis.Before diagnosis,64-slice spiral CT examination was performed.Results 89 cases were confirmed by surgery or clinical examination,and the top three cases were acute appendicitis,acute intestinal perforation and acute pan creatitis,accounting for 38.20%,22.47%and 14.61%respectively.All patients completed 64-slice spiral CT multi-plane reconstruction before surgery,and 86 cases were finally diagnosed,with a coincidence rate of 96.63%(P>0.05).Conclusion Multiplane reconstruction with 64-slice spiral CT can help patients with acute abdomen to make early diagnosis,which has the advantages of small surgical trauma and strong repeatability,and can provide basis and reference for clinical diagnosis and treatment.