腹部CT在急性阑尾炎诊断与治疗决策中的应用

Application of abdominal CT in the diagnosis and treatment of acute appendicitis

目的:探究急性阑尾炎患者采用腹部CT检查的诊治价值。方法:对本院2014年2月—2017年2月收治的疑似阑尾炎患者230例的临床资料予以回顾性分析,都进行腹部CT检查与手术治疗。结果:全部患者通过针对性治疗后痊愈,阑尾活检患者术后90天采用CT复查没有发现阑尾结构,没有再次进行手术,总体治疗效果较好;和确诊诊断对比,CT诊断的灵敏度、特异度、诊断符合率、阳性预测值分别为96.76%、71.43%、95.22%、98.12%;阴性阑尾切除率6.09%。结论:急性阑尾炎患者采用腹部CT检查的诊治价值显著,是一种有效的影像学检查手段。

Objective To explore the diagnosis and treatment of abdominal CT examination with acute appendicitis.Methods The clinical data of 230 patients with suspected appendicitis patients in our hospital in February 2014 —2017 year in February admitted to a retrospective analysis of abdominal CT examination and surgical treatment. Results All patients were cured through targeted biopsy, appendix 90 days after operation the CT review found no appendix structure, without surgery again, better overall treatment effect; comparison and confirmed diagnosis, the diagnosis of CT sensitivity, specificity,diagnostic rate, positive predictive values were 96.76%, 71.4 Conclusions 3%, 95.22%, 98.12%, negative appendectomy rate,6.09%. Conclusion The diagnosis and treatment of acute appendicitis with abdominal CT is significant, and it is an effective means of imaging examination.