摘要
目的探讨MSCT在老年非外伤性急腹症病因诊断及临床疗效评价中的价值。方法回顾性分析254例老年非外伤性急腹症患者的临床、随访资料以及MSCT表现。患者均行腹部MSCT检查,常规MPR重建,血管源性急腹症VR、MIP重建,动态随访评价患者恢复情况。结果 254例患者中,MSCT诊断符合率:肠梗阻91.7%(55/60)、急性胰腺炎90.0%(36/40)、急性阑尾炎94.9%(37/39)、血管源性急腹症100%(32/32)、肿瘤88.9%(24/27)、泌尿系结石95.7%(22/23)、胃肠道穿孔90.5%(19/21)、胆道结石、胆囊炎83.3%(10/12),总符合率92.5%。197例不同病因患者行MSCT动态随访。结论 MSCT清晰显示老年非外伤性急腹症的病因、发病部位、范围及并发症情况,不仅准确诊断,指导治疗方案选择,还可治疗过程中进行动态随访评价疗效。
Objective To evaluate the value of multi-slice computed tomography （MSCT） in the etiological diagnosis and evaluating clinical treatment of senile non traumatic acute abdomen. Methods Retrospectively analyzed follow-up data, MSCT findings of 254 cases of non traumatic acute abdomen in elderly patients. All of the patients underwent abdominal MSCT. The methods of reconstruction were multiple planar reconstruction （MPR）, maximal intensity projection （MIP） and volume rendering （VR）. Dynamic follow-up evaluated the recovery of patients. Results In 254 patients, MSCT diag- nosis., intestinal obstruction 91.7% （55/60）, acute pancreatitis 90% （36/40）, acute appendicitis 94.9% （37/39）, vascular disease 100%（32/32）, tumor 88.9%（24/27）, urinary calculi 95.7% （22/23）, gastrointestinal perforation 90. 5%（19/ 21 ）, gallstones, cholecystitis 83.3 % （10/12）. The total coincidence rate is 92.5 %. 197 cases with different causes under- went MSCT dynamic follow-up. Conclusion MSCT clearly show the etiology, location, scope and complications of elderly patients with non traumatic acute abdomen, not only make definitive diagnoses, guide selection of treatment methods, but also evaluate curative effectin the treatment by dynamic follow-up.
出处
《医学影像学杂志》
2014年第9期1537-1540,共4页
Journal of Medical Imaging
