摘要
目的:探讨多层螺旋CT(MSCT)多平面重建(MPR)技术在急性阑尾炎诊断中的应用价值。方法:对76例疑似急性阑尾炎患者进行MSCT扫描,对扫描结果进行多平面重建,观察组根据轴位结合MPR像,对照组根据单纯轴位像做出的诊断结果并对结果进行对比。结果:与手术病理结果对比结果显示,单纯轴位像对急性阑尾炎诊断的敏感性、特异性、阳性预测值、阴性预测值及准确性分别为86.76%、37.50%、88.06%、25.00%、81.58%;轴位结合MPR像为98.53%、75.00%、91.10%、85.71%、96.05%。结论:MSCT应用MPR技术对临床疑似阑尾炎患者的诊断更具优势,提高了急性阑尾炎诊断的准确率及敏感性,值得临床推广应用。
Objective:Explore the applied value multilayer spiral CT(MSCT)multiplanar reconstruction(MPR)technique in the diagnosis of acute appendicitis.Methods:76 patients of clinical suspected acute appendicitis were taken scanning with MSCT,the date was analysis by workstation and obtained the results of axial images and axial combined with MPR images.Results:Compared with operation and pathology,the sensitivity,sensibility,positive predictive,negative predictive and accuracy in observation group were 98.53%,75.00%,91.10%,85.71% and 96.05% respectively.In the control group were 86.76%,37.50%,88.06%,25.00% and 81.58% respectively.Conclusion:MPR technique has more advantage in the diagnosis of suspected appendicitis,can improve the accuracy and sensitivity of the diagnosis,worthy of being widely applied in clinic.
出处
《医学理论与实践》
2014年第20期2674-2675,共2页
The Journal of Medical Theory and Practice
关键词
多层螺旋CT
多平面重建
急性阑尾炎
Multilayer spiral CT
Multiplanar reconstruction
Acute appendicitis