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CT与超声检查诊断各种病理类型阑尾炎的对比研究
作者:杨兵1  王嵩2  史鹏丽3 
单位:1. 沈阳市第七人民医院 放射科, 辽宁 沈阳 110003;
2. 中国医科大学附属第四医院 放射科, 辽宁 沈阳 110032;
3. 中国医科大学附属第四医院 超声科, 辽宁 沈阳 110032
关键词:阑尾炎 病理分型 体层摄影术 X线计算机 超声检查 
分类号:R574.61;R445
出版年·卷·期(页码):2015·34·第二期(269-272)
摘要:

目的:比较CT与超声检查诊断各种病理类型阑尾炎的临床应用价值.方法:收集临床拟诊为阑尾炎患者162例,均行CT平扫和超声检查并进行阑尾炎临床分型,对照术后病理结果,计算诊断准确率、特异度、灵敏度、阴性预测值、阳性预测值,比较两种检查诊断阑尾炎差异有无统计学意义.结果:经手术后病理证实阑尾炎156例,CT和超声检查诊断准确率分别为91.3%、82.1%,特异度分别为50.0%、66.7%,灵敏度分别为94.9%、85.3%,阴性预测值分别为27.3%、14.8%,阳性预测值分别为98.0%、98.5%.CT与超声检查诊断阑尾炎的准确率差异具有统计学意义.结论:CT和超声检查对阑尾炎的病程进展及不同病理类型的诊断具有重要的临床应用价值,CT诊断单纯性及慢性阑尾炎优于超声检查,可作为超声结果阴性的补充检查方法,为临床提供重要参考信息.

Objective: To compare the clinical value of diagnosis in pathological classification of appendicitis between CT and ultrasound. Methods: CT noncontrast enhanced scan and ultrasound were performed on 162 patients with clinical doubtful appendicitis. Classified appendicitis compared with the results of operation to calculate correctly diagnostic rate, specificity, sensibility, negative predictive value, positive predictive value, and compared the statistical difference between CT and ultrasound. Results: 156 appendicitis were confirmed by pathology after operation, and the correctly diagnostic rate of CT and ultrasound respectively was 91.3% and 82.1%, the specificity respectively was 50.0% and 66.7%, the sensibility respectively was 94.9% and 85.3%, the negative predictive value respectively was 27.3% and 14.8%, the positive predictive value respectively was 98.0% and 98.5%. There was statistical difference between CT and ultrasound. Conclusion: CT and ultrasound have important clinical value in diagnosing different pathologic types and clinical stages of appendicitis, and CT is better than ultrasound in diagnosis of simple and chronicity appendicitis, it can be a complementa examination of negative ultrasonic result and can provide valuable information for clinic.

参考文献:

[1] 施鸿舟,石欣,汤文浩.急性阑尾炎发病特点的最新研究进展[J].现代医学,2014,42(7):840-842.
[2] 杨峰,查云飞,周静然,等.64层螺旋CT平扫和增强诊断成人急性阑尾炎的比较[J].放射学实践,2013,28(12):1275-1278.
[3] 刘明国,彭志远,邹正霖,等.急诊多层螺旋CT平扫对阑尾炎诊断的临床意义[J].西部医学,2013,25(12):1879-1883.
[4] ZAMPIERI N,CORROPPOLO M,el DALATI G,et al.Correlation between high-resolution ultrasound and surgical/pathological findings in patients with suspected appendicitis[J].Minerva Chir,2008,63(6):469-474.
[5] 娄喆,马灵芝.超声在急性阑尾炎临床分型中的价值[J].中国医学工程,2011,19(7):39-41.
[6] 余河,杨峰,胡磊,等.64层螺旋CT平扫诊断成人急性阑尾炎的价值研究[J].中国CT和MRI杂志,2013,11(3):30-32.
[7] 施晓兰,贾斌,夏柏,等.超声联合CT检查对急性阑尾炎的诊断价值[J].海南医学,2010,21(23):107-108.
[8] 文革,赵景亭,刘小珍,等.成人正常阑尾的超声检查及临床意义研究[J].中国超声医学杂志,2008,24(6):536-539.
[9] 王金明.结肠镜检查在不典型阑尾炎诊断中的价值[J].现代医学,2014,42(3):306-308.
[10] 陈剑薇,谢一平.超声和多层螺旋CT诊断急性阑尾炎临床价值分析[J].医学影像学杂志,2012,22(12):2127-2128.
[11] WAN M J,KRAHN M,UNGAR W J,et al.Acute appendicitis in young children:cost-effectiveness of US versus CT in diagnosis-a Markov decision analytic model[J].Radiology,2009,250(2):378-386.
[12] 史鹏丽,马灵芝.经腹及阴道超声联合诊断卵巢黄体破裂的应用探讨[J].东南大学学报:医学版,2013,32(2):192-195.

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