急性阑尾炎患者临床诊断中多层螺旋CT的应用及其准确性研究

Application and Accuracy of Multi-Slice Spiral CT in Clinical Diagnosis of Acute Appendicitis

目的探究急性阑尾炎患者临床诊断中多层螺旋CT的应用及其准确性。方法选取2017年2月至2019年12月期间来我院诊疗的急性阑尾炎患者158例,依据患者采取的诊断方式不同划分为两组:研究组与对照组,每组79例患者,作为研究对象。对照组患者采用超声诊断,研究组患者则采用多层螺旋CT(MSCT)诊断,以此分析两组诊断准确性、病灶位置、误诊及漏诊率、患者满意度。结果研究组急性阑尾炎病理分型诊断准确度高于对照组(P<0.05);研究组急性阑尾炎病灶位置诊断率高于对照组(P<0.05);研究组误诊率及漏诊率均低于对照组(P<0.05);研究组诊断满意度97.5%,高于对照组(86.1%,P<0.05)。结论临床急腹症中急性阑尾炎诊断采用多层螺旋CT(MSCT)准确性较高,且能较快诊断患者病灶位置及情况,避免误诊及漏诊发生,诊断后患者满意度较高,为临床后续急性阑尾炎治疗提供诊断依据及术区位置,值得在临床中推广使用。

Objective To explore the application and accuracy of multi-slice spiral CT in clinical diagnosis of acute appendicitis.Methods 158 patients with acute appendicitis who came to our hospital for treatment from February 2017 to December 2019 were selected and divided into two groups according to the diagnosis methods adopted by the patients,namely,the study group and the control group,with 79 patients in each group as the research objects.Patients in the control group were diagnosed by ultrasound.In contrast,patients in the study group were diagnosed by multi-slice spiral CT(MSCT)to analyze the diagnostic accuracy,location of lesions,rate of misdiagnosis and missed diagnosis,and patient satisfaction in the two groups.Results The accuracy of pathological classification of acute appendicitis in the study group was higher than that in the control group(P<0.05).The diagnosis rate of the location of acute appendicitis in the study group was higher than that in the control group(P<0.05).The misdiagnosis and missed diagnosis rate in the study group were lower than those in the control group(P<0.05).The diagnostic satisfaction of the study group was 97.5%higher than that of the control group(86.1%,P<0.05).Conclusion Acute appendicitis diagnosis in clinical acute abdominal disease using multi-slice CT(MSCT),high accuracy,and can fast diagnosis of patients with focal position and situation,avoid misdiagnosis and missed diagnosis,patient satisfaction is higher,after diagnosis to provide a diagnostic basis for clinical follow-up of acute appendicitis treatment area and position,is worth popularizing in clinical use.