急性肺栓塞的放射诊断效果及临床价值探讨

Diagnostic Effect and Clinical Value of Radiation in Acute Pulmonary Embolism

目的:探讨急性肺栓塞放射诊断效果。方法:选择本院2019年10月~2020年10月70例急性肺栓塞患者,以随机数字表法分为实验组及参照组,两组各35例。两组均接受放射科常规检查,其中实验组在此之上选用多层螺旋CT方法检查,参照组应用X射线胸片方法检查,比较两组急性肺栓塞患者的诊断准确情况、漏诊情况及误诊情况。结果:实验组的诊断准确率94.29%,显著高于参照组的诊断准确率74.29%,差异有统计学意义(χ^(2)=9.2851,P<0.05)。实验组的漏诊率为5.71%,明显低于参照组的漏诊率14.29%,差异有统计学意义(χ^(2)=4.3182,P<0.05);实验组误诊率为5.71%,低于参照组的误诊率11.43%,差异有统计学意义(χ^(2)=4.0314,P<0.05)。结论:急性肺栓塞放射诊断中进行多层螺旋CT方法检查,可提高诊断准确率,降低漏诊及误诊情况的出现,为后续及时治疗提供了可靠依据,有利于患者预后的改善。

Objective:To explore the effect of radiological diagnosis of acute pulmonary embolism.Methods:From October 2019 to October 2020,70 patients with acute pulmonary embolism in our hospital were selected and divided into experimental group and reference group by random number table method,with 35 cases in both groups.Both groups received routine radiology examinations.The experimental group used multi-slice spiral CT for examinations,and the reference group used X-ray chest radiographs to compare the accuracy,missed diagnosis and misdiagnosis of the two groups of patients with acute pulmonary embolism.Compare the situation.Results:The diagnostic accuracy rate of the experimental group was 94.29%,which was significantly higher than that of the reference group of 74.29%.The comparison between the two groups was statistically significant(χ^(2)=9.2851,P<0.05).The missed diagnosis rate of the experimental group was 5.71%,which was significantly lower than the 14.29%missed diagnosis rate of the reference group,the difference was statistically significant(χ^(2)=4.3182,P<0.05);The misdiagnosis rate of the experimental group was 5.71%,which was lower than the misdiagnosis rate of the reference group 11.43%,the difference was statistically significant(χ^(2)=4.0314,P<0.05).Conclusion:Multi slice spiral CT examination in the radiation diagnosis of acute pulmonary embolism can improve the diagnostic accuracy,reduce the occurrence of missed diagnosis and misdiagnosis,provide a reliable basis for the follow-up timely treatment,improve the prognosis of patients.