摘要
目的:研究腹内疝采取多排螺旋电子计算机X射线断层扫描技术(CT)诊断的应用价值。方法:选取2018年3月-2021年10月黄陂区横店街道中心卫生院收治的32例疑似腹内疝患者作为研究对象,针对患者均实施多排螺旋CT诊断、超声检查,对比手术病理诊断结果,分析诊断特异度、准确率及灵敏度、疾病类型符合率。结果:经手术诊断病理阳性为30例,占比93.75%。多排螺旋CT诊断准确率、特异性及灵敏度均优于超声检查,差异均有统计学意义(P<0.05)。多排螺旋CT诊断肠系膜裂孔膜疝、术后粘连束带疝与超声检查比较,差异有统计学意义(P<0.05);多排螺旋CT诊断十二指肠旁疝、吻合口瘘疝与超声检查比较,差异无统计学意义(P>0.05)。结论:腹内疝应用多排螺旋CT诊断可提升诊断准确率,实现患者腹内疝准确分型,降低误诊率。
Objective: To study the application value of multirow spiral computed tomography(CT) in the diagnosis of internalabdominal hernia. Methods: A total of 32 patients with suspected internal abdominal hernia treated in Hengdian SubdistrictCentral Hospital of Huangpi District from March 2018 to October 2021 were selected as the study subjects. The patients werediagnosed by multirow spiral CT and ultrasonography. The results of surgical and pathological diagnosis were compared, and thediagnostic specificity, accuracy, sensitivity and coincidence rate of disease types were analyzed. Results: 30 cases werepathologically positive after operation, accounting for 93.75%. The diagnostic specificity, accuracy and sensitivity of multirowspiral CT were better than those of ultrasonography, and the difference was statistically significant(P<0.05). There was astatistical difference between multirow spiral CT and ultrasonography in the diagnosis of mesenteric hiatal hernia andpostoperative adhesive band hernia(P<0.05), and there was no statistical difference in the diagnosis of paraduodenal hernia andanastomotic hernia(P>0.05). Conclusion: The application of multirow spiral CT in the diagnosis of internal abdominal hernia canimprove the diagnostic accuracy, realize the accurate classification of internal abdominal hernia and reduce the misdiagnosis rate.
作者
黄继平
Huang Ji-ping(Hengdian Subdistrict Central Hospital of Huangpi District of Wuhan City,Wuhan 430301,Hubei Province,China)
出处
《中国社区医师》
2022年第16期93-95,共3页
Chinese Community Doctors
关键词
多排螺旋CT
病理
腹内疝
Multirow spiral CT
Pathology
Internal abdominal hernia
