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。
OBJECTIVE To investigate the clinical diagnostic value of multi-slice spiral CT for infectious acute abdominal disease,so as to provide reference for clinical application of multi-slice spiral CT.METHODS A retrospective analysis was conducted on the imaging data of 72 cases of infectious acute abdominal disease during Jan.-Dec.2014.All patients were confirmed to have infectious acute abdominal disease by surgical,pathological or clinical follow-ups and were diagnosed using multi-slice spiral CT on admission.Accuracy of multi-slice spiral CT diagnosis and CT features were statistically analyzed.RESULTS Totally 65 patients were correctly diagnosed by multislice spiral CT among the 72 patients with the diagnostic accuracy of 90.28%.There were 30 cases of perforation lesions mainly manifested by free gas in abdomen on CT images,18 cases of obstructive lesions mainly manifested by intestinal fluid,bowel dilatation and intestinal gas gathering,and 24 cases of inflammatory lesions mainly manifested by acute pancreatitis and acute pancreatitis.CONCLUSION Multi-slice spiral CT is a reliable method of imaging diagnosis of infectious acute abdominal disease,which can quickly display the location of the lesion,causes,degree and extent of disease,providing guidance for surgery.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第3期641-642,645,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生一般研究计划基金资助项目(2014KYB266)
关键词
多层螺旋CT
感染性急腹症
临床诊断
准确率
病理学检查
Multi-slice spiral CT
Infectious acute abdominal disease
Clinical diagnosis
Accuracy
Pathological examination
