彩色超声和CT用于急性阑尾炎临床诊断效果分析

Clinical Diagnostic Effect Analysis of Color Ultrasound and CT for Acute Appendicitis

目的分析彩色超声和CT对急性阑尾炎的诊断价值。方法本研究行回顾性分析,选取2021年5月—2023年5月本院收治的100例疑似急性阑尾炎患者作为研究对象,并对所有患者行彩色超声和CT检查,以手术病理结果为金标准,对比两种方式疾病诊断效能和两种方式对不同类型急性阑尾炎的诊断符合率。结果CT对急性阑尾炎的诊断灵敏度、特异度、准确性、阳性预测值和阴性预测值更高,与彩色超声对比,差异有统计学意义(P<0.05);两种方式对急性坏疽性阑尾炎的诊断符合率对比,差异无统计学意义(P>0.05);CT对急性单纯性阑尾炎和急性化脓性阑尾炎(急性蜂窝织炎性阑尾炎)的诊断符合率均高于彩色超声,组间差异有统计学意义(P<0.05)。结论与彩色超声比较,CT检查既可准确诊断急性阑尾炎,也能在疾病类型判定中发挥作用,可推广。

Objective To analyze diagnostic value of color ultrasound and CT for acute appendicitis.Methods The paper chose The paper reviewed and studied 100 suspected patients with acute appendicitis from May 2021 to May 2023.Diagnostic effect and diagnostic accuracy of two methods for different types of acute appendicitis was compared after Color ultrasound and CT scanning.Results Diagnostic sensitivity,specificity,accuracy,positive and negative predictive values of CT for acute appendicitis were higher,there was difference with color ultrasound(P<0.05).There was no difference in diagnostic accuracy between two methods for acute gangrenous appendicitis(P>0.05).Diagnostic accuracy of CT for acute simple appendicitis and acute suppurative appendicitis(acute cellulitis appendicitis)was higher than color ultrasound,data difference was significant(P<0.05).Conclusion CT can diagnose acute appendicitis more accurately than color ultrasound,and play role in disease type determination,which can be promoted.