多排螺旋CT检查在诊断急性阑尾炎中的价值分析

Value Analysis of Multi-Slice Spiral CT in Diagnosis of Acute Appendicitis

目的 分析多排螺旋CT检查在急性阑尾炎诊断中的应用价值。方法 选择2021年6月-2022年12月本院收治的88例急性阑尾炎患者为研究对象,分别对其进行B超检查和多排螺旋CT检查,对比检查结果。结果 经统计,多排螺旋CT对急性阑尾炎诊断的符合率明显比B超诊断的符合率高,差异存在统计学意义(P<0.05);多排螺旋CT对于急性单纯性阑尾炎的诊断分型上准确率明显高于B超检查,差异存在统计学意义(P<0.05);两种检查方法对于急性化脓性阑尾炎、坏疽性阑尾炎、穿孔性阑尾炎的检出率差异对比无统计学意义(P>0.05)。结论 多排螺旋CT应用于急性阑尾炎的检查中具有较高的检出率和准确率,对于预防误诊和漏诊有显著效果,从而能够让患者尽快接受有效治疗,应用价值高,值得推广。

Objective To analyze application value of multi-slice spiral CT in diagnosis of acute appendicitis.Methods The paper chose 88 patients with acute appendicitis admitted to our hospital from June 2021 to December 2022,examined by B ultrasound and multi-slice spiral CT,result was compared.Results According to statistics,coincidence rate of multi-slice spiral CT in diagnosis of acute appendicitis was significantly higher than B-ultrasound(P<0.05).Accuracy of multi-slice spiral CT was significantly higher than B-ultrasound in diagnosis and classification of acute simple appendicitis(P<0.05).There was no statistical difference in detection rate of acute suppurative appendicitis,gangrenous appendicitis and perforated appendicitis between two examination methods(P>0.05).Conclusion Multi detector row spiral CT can achieve high detection rate and accuracy in examination of acute appendicitis,with significant effect in preventing misdiagnosis and missed diagnosis,patients can receive effective treatment as soon as possible,which has high application value and is worthy of promotion.