超声和CT诊断成人急腹症的价值观察

Value of Ultrasound and CT in the Diagnosis of Acute Abdomen in Adults

目的研究超声和CT诊断成人急腹症的价值。方法随机选择本院2018年1月至2019年10月诊治的200例成人急腹症患者作为研究对象,所有患者入院后均行CT检查和超声检查,以手术病理学检查结果为“金标准”,比较超声、CT的诊断准确率。结果超声在妇科疾病、肝胆泌尿疾病诊断准确率明显高于CT(P<0.05);胃肠疾病诊断准确率低于CT,CT在腹部大血管诊断准确率高于超声,但比较差异不明显(P>0.05);超声和CT对于成人急腹症诊断准确率分别为93.50%和92.00%,差异无统计学意义(P>0.05)。结论超声和CT检查均对成人急腹症的诊断具有重要的应用价值,两者的诊断准确率均较高,但超声更具有优势。

Objective To study the value of ultrasound and CT in the diagnosis of acute abdomen in adults.Methods 200 adult patients with acute abdomen diagnosed and treated in the hospital between January 2018and October 2019 were randomly selected as the subjects.All of them underwent CT and ultrasonography after admission.With the result of surgical pathology as the golden standard,the diagnostic accuracy was compared between ultrasound and CT.Results The diagnostic accuracy rates of ultrasound for gynecological diseases,hepatobiliary and urinary diseases were significantly higher than those of CT(P<0.05).The diagnostic accuracy of gastrointestinal diseases was lower than that of CT.The diagnostic accuracy of CT for abdominal aorta was higher than that of ultrasound(P>0.05).The diagnostic accuracy rates of ultrasound and CT for acute abdomen in adults were 93.50%and 92.00%,respectively(P>0.05).Conclusion Both ultrasound and CT are of great value in the diagnosis of acute abdomen in adults.The diagnostic accuracy rates of both are high,but ultrasound has more advantages.