摘要
目的探讨并评估多排螺旋CT对脂肪肝背景下肝脏结节性疾病的诊断价值。方法选取2015年4月—2017年8月中我院收诊的60例脂肪肝合并肝脏结节性疾病患者,按照接诊日期的单双数分为对照组与观察组各30例,对照组采用超声诊断,观察组采用多排螺旋CT进行诊断,比较两组患者诊断情况。同时按照结节大小差异将观察组划分为大结节组与小结节组进行诊断,比较诊断情况。结果观察组的确诊率为93.3%,高于对照组的73.3%,组间差异有统计学意义(P<0.05);小结节组准确度88.2%、灵敏度为91.7%、特异度为80.0%,与大结节组对应值75.0%、88.9%、75.0%相比较,组间差异无统计学意义(P>0.05),但小结节组患者准确度、灵敏度以及特异度水平略高于大结节组,具有一定积极意义。结论多排螺旋CT扫描诊断脂肪肝合并肝脏结节性疾病诊断正确率高,操作过程简单且安全性相对较高。
Objective To explore and evaluate the diagnostic value of multi-slice spiral CT in the diagnosis of hepatic nodular disease in the context of fatty liver.Methods Sixty patients with fatty liver complicated with hepatic nodular disease who were enrolled in our hospital from April 2015 to August 2017 were divided into control group and observation group according to the number of admissions and admissions,and 30 cases in each group.The control group was diagnosed by ultrasound.The observation group was diagnosed by multi-slice spiral CT.The diagnosis of the two groups was compared.At the same time,according to the difference in the size of the nodule,the observation group was divided into the large nodule group and the small nodule group for diagnosis,and the diagnosis was compared.Results The diagnosis rate in the observation group was 93.3%,which was significantly higher than that in the control group of 73.3%.The difference between the groups was statistically significant(P<0.05).The accuracy of the small nodule group was 88.2%,the sensitivity was 91.7%,and the specificity was 80.0%,compared with 75.0%,88.9%,and 75.0%corresponding to large nodule group,there was no significant difference between the two groups(P>0.05),but the accuracy,sensitivity,and specificity of the small nodule group were slightly higher than those of the large nodule group.Festival group has a certain positive significance.Conclusion Multi-slice spiral CT scan for the diagnosis of fatty liver combined with hepatic nodular disease has high diagnostic accuracy,simple operation process and relatively high safety.
作者
李捷
LI Jie(Radiology Department,The Second Hospital of Fuzhou City,Fuzhou Fujian 350001,China)
出处
《中国继续医学教育》
2018年第21期49-51,共3页
China Continuing Medical Education
关键词
多排螺旋CT
脂肪肝
肝脏结节性疾病
准确度
灵敏度
特异度
multi slice spiral CT
fatty liver
hepatic nodular diseases
accuracy
sensitivity
specificity
