多层螺旋CT在诊断感染性急腹症的临床应用分析

发布时间：2019-01-23 09:33

【摘要】：目的探讨多层螺旋CT应用于感染性急腹症的临床诊断价值,从而为多层螺旋CT的临床应用提供依据。方法回顾性分析2014年1-12月医院收治的72例感染性急腹症患者影像学检查资料,患者均经过手术、病理学或者临床随访确诊为急腹症,并且在入院时行全腹多层螺旋CT诊断,统计分析多层螺旋CT诊断的准确率及CT影像表现。结果 72例患者经多层螺旋CT正确诊断65例,诊断准确率为90.28%;其中穿孔性病变患者30例,CT影像表现主要为腹腔内部存在游离气体;梗阻性病变患者18例,CT影像主要表现为肠管积液、肠管扩张以及肠管集气;炎症性病变患者24例,主要包括急性胰腺炎以及急性胆囊炎。结论多层螺旋CT检查是感染性急腹症临床诊断的可靠影像学方法,可以快速显示感染性急腹症患者的病变位置、原因、程度以及病变的范围,为外科手术提供指导。
[Abstract]:Objective To study the clinical value of multi-slice spiral CT in the diagnosis of infectious acute abdomen, so as to provide the basis for the clinical application of multi-slice spiral CT. Methods The imaging data of 72 patients with infectious acute abdomen from January to December of 2014 were analyzed retrospectively. The patients were diagnosed as acute abdomen by operation, pathology or clinical follow-up, and the full-abdominal multi-slice spiral CT was diagnosed at the time of admission. To analyze the accuracy of multi-slice spiral CT and the performance of CT image. Results Among the 72 patients, 65 cases were correctly diagnosed by multi-slice spiral CT, and the diagnostic accuracy was 90. 28%. Among them, 30 cases of the patients with perforation, the CT image showed the presence of free gas in the abdominal cavity. Intestinal tube expansion and intestinal tube gas collection; 24 patients with inflammatory disease, including acute pancreatitis and acute cholecystitis. Conclusion The multi-slice spiral CT examination is a reliable imaging method for the clinical diagnosis of infectious acute abdomen, and can rapidly display the position, reason, degree and scope of the lesion in the patients with acute abdomen, and provide guidance for the surgical operation.
【作者单位】：杭州市红十字会医院放射科;
【基金】：浙江省医药卫生一般研究计划基金资助项目(2014KYB266)
【分类号】：R816.5;R656.1

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