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计算机体层成像诊断急性胰腺炎的临床价值评估分析

Evaluation of Clinical Value of CT Scan in the Diagnosis of Acute Pancreatitis
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摘要 目的:分析计算机体层成像(CT)诊断急性胰腺炎的临床价值。方法:将2018年1月~2020年12月本院收治的急性胰腺炎患者50例作为观察对象,对所有患者采用CT诊断以及手术病理诊断,以手术病理诊断为对照组,CT诊断为观察组,对比分析两种诊断方法诊断准确率、灵敏度、特异度、阳性预测值、阴性预测值、疾病类型诊断准确率、诊断舒适满意度。结果:两种诊断方法诊断准确率比较无显著差异(P>0.05);两组间的灵敏度、特异度、阳性及阴性预测值比较无显著性差异(P>0.05);两组间的出血性坏死、急性水肿型诊断准确率比较均无显著性差异(P>0.05);两组间诊断舒适满意度比较,观察组患者明显更高,统计学差异明显(P<0.05)。结论:在急性胰腺炎患者的临床诊断中对患者采取CT诊断,准确率、灵敏度、特异度等与病理诊断结果差异不大,而相较于手术病理诊断方式更能让患者接受。 Objective:To analyze the diagnostic value of CT scan(CT)in the clinical diagnosis of acute pancreatitis.Methods:Fifty patients with acute pancreatitis admitted to our hospital from January 2018 to December 2020 were selected as observation subjects.CT diagnosis and surgical pathology diagnosis were used for all patients,with surgical pathology diagnosis as the control group and CT diagnosis as the observation group.The diagnostic accuracy,sensitivity,specificity,positive predictive value,negative predictive value,disease type diagnostic accuracy,and diagnostic comfort satisfaction of the two groups were compared and analyzed.Results:There was no significant difference in diagnostic accuracy between the two groups of diagnostic methods(P>0.05);There was no significant difference in sensitivity,specificity,positive and negative predictive values between the two groups(P>0.05);There was no significant difference in the diagnostic accuracy of hemorrhagic necrosis and acute edema type between the two groups(P>0.05);The satisfaction with diagnostic comfort between the two groups was significantly higher in the observation group,with a statistically significant difference(P<0.05).Conclusion:In the clinical diagnosis of acute pancreatitis patients,CT diagnosis is not significantly different from pathological diagnosis in terms of accuracy,sensitivity,and specificity,but is more acceptable to patients compared to surgical pathological diagnosis.
作者 段开石 DUAN Kai-shi(Department of Imaging,Tianjin Huanghe Hospital,Tianjin 300110)
出处 《中国医疗器械信息》 2023年第13期77-79,共3页 China Medical Device Information
关键词 计算机体层成像 急性胰腺炎 临床诊断价值 CT scan acute pancreatitis clinical diagnostic value
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