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目的:探讨超声与CT在小儿急慢性阑尾炎诊断中的应用价值。方法:选取我院2015年3月—2016年3月收治的82例小儿急慢性阑尾炎患者作为研究的对象,对82例患者分别行CT诊断与超声诊断,行CT诊断的82例患儿为研究组,行超声诊断的82例患儿为参照组。对两种诊断方法的灵敏度进行分析与比较,并且进一步计算急性阑尾炎中单纯与非单纯性阑尾炎的灵敏度。结果:在小儿急性阑尾炎的诊断中,CT诊断明显优于超声,P<0.05,具有统计学意义。其灵敏度主要体现在对急性单纯性阑尾炎的诊断上,不管是超声还是CT在非单纯性以及慢性阑尾炎的诊断中不具备统计学意义,P>0.05。结论:由于CT检查会对小儿造成电离辐射,因而在对小儿急慢性阑尾炎进行临床诊断时,首选超声检查,必要的时候再行CT检查。
Objective: To investigate the value of ultrasound and CT in the diagnosis of acute and chronic appendicitis in children. Methods: A total of 82 children with acute and chronic appendicitis admitted to our hospital from March 2015 to March 2016 were selected as the study objects. Eighty-two children undergoing CT diagnosis and ultrasound diagnosis respectively underwent CT diagnosis. Group, line ultrasound diagnosis of 82 cases of children as a reference group. The sensitivity of the two diagnostic methods were analyzed and compared, and the sensitivity of simple and non-simple appendicitis in acute appendicitis was further calculated. Results: The diagnosis of acute appendicitis in children, CT diagnosis was significantly better than ultrasound, P <0.05, with statistical significance. Its sensitivity is mainly reflected in the diagnosis of acute simple appendicitis, whether ultrasound or CT in non-simple and chronic appendicitis diagnosis is not statistically significant, P> 0.05. Conclusion: Because CT examination can cause ionizing radiation in children, so in the clinical diagnosis of acute and chronic appendicitis in children, the preferred ultrasound examination, CT examination when necessary.