摘要
目的:术前精准诊断成人急性阑尾炎并为临床提供更多有价值的影像资料,减少误漏诊,使患者受益。方法:收集2017年1月至2018年12月在我院急诊外科手术治疗的89例急性阑尾炎患者MSCT平扫、临床及病理资料,并以30例阑尾患者为正常对照组。结果:急性阑尾炎组阑尾显示清楚者77例,影像与病理诊断总体符合率为79.78%(95%CI:0.703~0.868)。MSCT平扫与术后病理在阑尾腔内粪石、阑尾周围炎中差异无统计学意义;在局限性腹膜炎中差异有统计学意义(χ^2=13.149,P=0.000)。急性阑尾炎组与正常对照组在阑尾直径、阑尾管壁厚度、阑尾腔内积液、阑尾腔内积气、周围肠系膜淋巴结增大中差异均有统计学意义。结论:成人急性阑尾炎MSCT平扫具有一定的特征性,与术后病理一致性较高。
Objective:To accurately diagnose adult acute appendicitis(AA)before surgery and provide valuable imaging data for the clinic to reduce misdiagnosis.Methods:The MSCT imaging features,clinical and pathological data of 89 patients with AA who underwent emergency surgery in our hospital from Jan 2017 to Dec 2018 were collected,and 30 cases of patients with normal appendix were sellected as controls.Results:In the AA group,77 cases were confirmed with AA by MSCT plain scan,and the coincidence rate of MSCT imaging and pathological diagnosis was 79.78%(95%CI:0.703-0.868).There was no significant difference between MSCT plain scan and postoperative pathology in appendiceal fecalith and periappendiceal inflammation,but there was significant difference in localized peritonitis(χ^2=13.149,P=0.000).And also the differences in the appendix diameter,appendix wall thickness,appendix effusion,gas accumulation,and enlargement of the peripheral mesenteric lymph nodes between the AA group and the control group were statistically significant.Conclusion:MSCT plain scan of adult AA has certain clinical features and is consistent with postoperative pathology.
作者
张晓金
汪健文
张虎
谢钊
陈立芳
过永
ZHANG Xiaojin;WANG Jianwen;ZHANG Hu;XIAO Zhao;CHEN Lifang;GUO Yong(Department of Medical Imaging,The Second People′s Hospital of Wuhu,Wuhu 241000,China)
出处
《沈阳医学院学报》
2020年第1期41-43,47,共4页
Journal of Shenyang Medical College
基金
芜湖市第二人民医院2019年科研项目(No.2019D01)。
