摘要
目的分析研究非创伤性急腹症螺旋CT影像表现。方法回顾性分析本院经治疗确诊为该类疾病患者117例,全部患者均经腹部螺旋CT平扫,15例另行增强扫描。统计CT诊断结果,并与临床确诊进行对比分析。结果 117例患者中,消化道穿孔8例;急性胆囊炎12例;胆总管结石合并胆管炎14例;肠梗阻21例;阑尾炎17例;胰腺炎20例;泌尿系结石11例;腹腔中异位妊娠4例。误诊5例,漏诊5例。CT诊断符合率为91.5%。结论非创伤性急腹症螺旋CT检查,定位及诊断准确,漏诊、误诊率低,具有重要的临床应用价值。
Objective To analyze the spiral CT image of non - traumatic acute abdomen. Methods 117 cases of pa- tients diagnosed with non - traumatic acute abdomen in our hospital were retrospectively analyzed. All the patients were giv- en emergency abdominal spiral CT scan, 15 cases of patients were given extra enhancement scan. The statistical CT diagno- sis was analyzed compared with the clinical diagnosis. Results Spiral CT diagnosis showed, among 117 cases of patients, 8 cases were with gastrointestinal perforation, 12 cases of acute cholecystitis, 14 cases of common bile duct stones with cholangitis, 21 cases of intestinal obstruction, 17 cases of appendicitis, 20 cases of pancreatitis, 11 cases of urinary calcu- lus, 4 cases of intraabdominal heterotopic pregnancy. And 5 cases were misdiagnosed, and other 5 cases missed diagnosis. The coincidence rate of CT examination was 91.5%. Conclusion Spiral CT examination of non - traumatic acute abdo- men, with its advantages of accurate localization and diagnosis and lower rate of missed diagnosis and misdiagnosis, proves to have important application value in clinical treatment.
出处
《辽宁医学院学报》
CAS
2013年第5期50-51,共2页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
非创伤性急腹症
螺旋CT
影像分析
non- traumatic acute abdomen
spiral CT
image analysis
