摘要
目的评价腹部CT在急性阑尾炎诊断、治疗中的价值。方法回顾性分析我院2012年1月~2015年1月234例可疑急性阑尾炎患者的临床资料,包括CT诊断、手术方式、病理结果、预后。结果所有患者均痊愈,无二次手术患者。CT诊断不典型阑尾炎的灵敏度、特异度、诊断符合率、阳性预测值分别为96.3%、68.7%、94.4%、97.7%,阴性阑尾切除率为6.8%。结论 CT在急性阑尾炎诊断、鉴别诊断、治疗决策中发挥重要作用,有望成为急腹症的首选影像学检查方法。
Objective To evaluate the diagnostic and treatment value of abdominal CT in acute appendicitis. Methods Clinical data of 234 suspected acute appendicitis patients from Jan 2012 to Jan 2015 were retrospectively analyzed,which included CT diagnosis, operative method, treatment, and prognosis. Results All the patients fully recovered,and there was no second operation. The sensitivity,specificity,accuracy and positive predicitive value in the diagnosis of atypical acute appendicitis were 96.3%, 68.7%, 94.4%, 97.7% respectively. The negative appendectomy rate was6.8%. Conclusion CT plays a very important value in the diagnosis, differential diagnosis and treatment decision-making of acute appendicitis; and may be the fist imaging examination choice for atypical acute appendicitis.
出处
《中国现代医生》
2015年第25期89-92,共4页
China Modern Doctor
关键词
急性阑尾炎
CT
联合阅片
治疗决策
Acute appendicitis
CT
Combined images evaluation
Treatment decision-making
作者简介
通讯作者
