摘要
探讨多排螺旋CT(MSCT)在Budd-Chiari综合征(BCS)下腔静脉病变诊断中的应用及其临床价值.方法选取2017年5月至2018年5月单县中心医院收治的BCS患者80例,应用数字分组法将患者随机分为两组,每组40例.对照组应用超声诊断,研究组应用多排CT诊断,对比两组患者的病变诊断情况,下腔静脉、肝静脉组织对比度以及诊断下腔静脉阻塞的灵敏度、特异度、阳性预测值、阴性预测值.结果研究组的病变诊断情况显著高于对照组(χ^2 =4.562、4.695、4.125、5.124,均P<0.05);研究组的下腔静脉、肝静脉组织对比度显著高于对照组(t=12.897、13.214,均P<0.05);研究组诊断下腔静脉阻塞的灵敏度、特异度、阳性预测值、阴性预测值均高于对照组(对照组:91.2%、98.6%、97.3%、80.3%,研究组:100.0%、99.5%、98.2%、100.0%,χ^2 =11.897、10.214、11.235、13.564,均P<0.05).结论应用多排螺旋CT诊断BCS下腔静脉病变,能全面直观的显示病变情况,指导治疗下腔静脉病变,具有较高的诊断价值,值得在临床上推广应用.
Objective To study the application of multiple row spiral CT (MSCT) in the diagnosis of inferior vena cava lesions in Budd Chiari syndrome (BCS) and its clinical value.Methods Eighty patients with BCS admitted to the Central Hospital of Shan County from May 2017 to May 2018 were divided into two groups by digital grouping method,with 40 cases in each group.The control group was diagnosed by ultrasound , and the study group was diagnosed by multi-slice CT.The pathological changes ,tissue contrast of inferior vena cava and hepatic vein and the diagnostic sensitivity,specificity,positive predictive value and negative predictive value of inferior vena cava obstruction were compared between the two groups.Results The pathological diagnosis rate in the study group was significantly higher than that in the control group (χ^2 =4.562,4.695,4.125,5.124,all P<0.05).The contrast of inferior vena cava and hepatic vein tissues in the study group was significantly higher than that in the control group ( t=12.897, 13.214, all P <0.05 ).The sensitivity, specificity, positive predictive value and negative predictive value of the diagnosis of inferior vena cava occlusion in the study group were higher than those in the control group (the control group:91.2%,98.6%,97.3%,80.3%,the study group:100.0%,99.5%,98.2%,100.0%,χ^2 =11.897,10.214, 11.235,13.564,all P<0.05).Conclusion The application of MSCT in the diagnosis of BCS -inferior vena cava lesions,can display the lesions comprehensively and intuitive guidance in the treatment of inferior vena cava lesions , has high diagnostic value ,it is worthy of popularization and application in clinic.
作者
梁慧
杨春艳
Liang Hui;Yang Chunyan(CT,Room,the Central Hospital of Shan County,Shandong 274300,China;Operating Room,the Central Hospital of Shan County,Shandong 274300,China)
出处
《中国基层医药》
CAS
2019年第18期2248-2251,共4页
Chinese Journal of Primary Medicine and Pharmacy
