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目的 :探讨多层螺旋CT (MSCT)在外科急腹症病因诊断中的价值。材料与方法 :对经MSCT检查并获得手术、病理证实的 4 7例外科急腹症的影像学资料进行回顾性分析与研究。结果 :MSCT对外科急腹症病因诊断有较高的准确性 ,术前准确率为 89 2 % ,腹部平片为 18 9% ,超声为 2 7%。MSCT、B超、腹部平片三种方法 ,经X2 检验 ,X2 =5 0 16 ,P <0 0 0 5 ,具有统计学意义。结论 :MSCT是一种快速、简便、无创性检查方法 ,对外科急腹症的病因早期诊断和鉴别诊断具有重要意义 ,它使急腹症病员能够得到及时有效治疗 ,故有很重要的临床价值。
Objective: To investigate the value of multi-slice spiral CT (MSCT) in the etiological diagnosis of surgical acute abdomen. Materials and Methods: The imaging data of 47 cases of acute abdomen confirmed by MSCT and confirmed by operation and pathology were analyzed retrospectively. Results: The diagnosis of surgical acute abdomen MSCT had a higher accuracy, preoperative accuracy was 89.2%, 18 9% of plain film, ultrasound was 27%. MSCT, B ultrasound, abdominal plain film three methods, by X2 test, X2 = 5 0 16, P <0 0 0 5, with statistical significance. Conclusion: MSCT is a fast, simple and noninvasive method. It is of great significance to the early diagnosis and differential diagnosis of surgical acute abdomen. It makes the patients with acute abdomen disease treated promptly and effectively and therefore has important clinical value .