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目的:研究多层螺旋CT用于诊断阑尾炎的临床价值。材料与方法:整理和对比经手术、病理确诊为阑尾炎者80例,随机分组后,对对照组患者行腹部超声,观察组行MSCT检查;根据手术及病理分析结果,对比螺旋CT轴扫与腹部超声对阑尾炎的诊断正确率。结果:观察组经MSCT诊断与病理分析后确诊阑尾炎患者39例,有1例误诊;对照组经常规诊断与手术病理分析,有31例急性阑尾炎患者被确诊,有9例误诊,观察组诊断符合率97.5%明显高于对照组77.5%(P<0.05)。结论阑尾炎症状、体征不典型,临床很容易引起诊断;通过MSCT,能观察到阑尾炎的病变情况,其对阑尾炎具有较高的诊断价值。
Objective: To study the clinical value of multi-slice spiral CT in the diagnosis of appendicitis. Materials and Methods: Totally 80 patients with appendicitis diagnosed by surgery and pathology were randomly divided into two groups. The patients in the control group underwent abdominal ultrasound and the observation group underwent MSCT. According to the results of surgery and pathology, The diagnostic accuracy of ultrasound on appendicitis. Results: The observation group was diagnosed 39 cases of appendicitis by MSCT diagnosis and pathological analysis, 1 case of misdiagnosis; the control group by routine diagnosis and surgical pathology, 31 cases of acute appendicitis were diagnosed, 9 cases were misdiagnosed, the observation group diagnosis The rate of 97.5% was significantly higher than that of the control group (77.5%, P <0.05). Conclusions Appendicitis symptoms and signs are not typical, it is easy to cause clinical diagnosis; by MSCT, we can observe the appendicitis lesions, which has a high diagnostic value of appendicitis.