摘要
目的探究胃肠道急腹症诊断中分别应用多层螺旋CT和超声进行诊断的临床价值。方法纳入2021年5月至2024年5月在我院进行诊治的疑似胃肠道急腹症的80例患者作为研究对象,所有患者入院诊断时均同时接受多层螺旋CT和超声检查,统计多层螺旋CT和超声检查结果,并以临床病理结果为金标准计算多层螺旋CT和超声检查诊断真阳性、假阳性、真阴性和假阴性例数等诊断情况以及诊断准确率、漏诊率和误诊率等诊断效能。结果以临床最终诊断结果为金标准计算多层螺旋CT检查诊断真阳性、假阳性、真阴性和假阴性例数分别为39例、1例、33例和7例。以临床最终诊断结果为金标准计算超声检查诊断真阳性、假阳性、真阴性和假阴性例数分别为31例、7例、27例和15例。经计算,多层螺旋CT诊断胃肠道急腹症的准确率和特异度高于超声(P<0.05),多层螺旋CT的误诊率低于超声(P<0.05),多层螺旋CT和超声检查诊断胃肠道急腹症的灵敏度和漏诊率比较差异无统计学意义(P>0.05)。结论多层螺旋CT与超声在胃肠道急腹症诊断中均具有良好的诊断效能,但从诊断准确率来看,多层螺旋CT较高于超声。
Objective To investigate the clinical value of applying multi-slice spiral CT and ultrasound respectively in the diagnosis of gastrointestinal acute abdomen.Methods We retrospectively analyzed the clinical data of 80 patients with suspected gastrointestinal acute abdomen who were diagnosed and treated in our hospital from May 2021 to May 2024,and all the patients received multi-slice CT and ultrasonography at the time of diagnosis,and counted the results of multi-slice CT and ultrasonography,and calculated the number of true-positive,false-positive,true-negative and false-negative diagnoses of multi-slice CT and ultrasonography,and diagnostic efficacy such as diagnostic accuracy rate and misdiagnosis rate,with the final diagnostic results of clinical diagnostics as the gold standard.We also calculated the number of cases of true-positive,false-positive,true-negative and false-negative diagnosis by multi-slice spiral CT and ultrasonography,and the diagnostic efficacy of diagnosis such as diagnostic accuracy,leakage and misdiagnosis.Results The number of cases diagnosed with true positive,false positive,true negative and false negative by multi-slice spiral CT examination using the final clinical diagnosis as the gold standard was calculated as 39 cases,1 case,33 cases and 7 cases,respectively.The number of cases diagnosed with true positive,false positive,true negative and false negative by ultrasonography using the final clinical diagnosis as the gold standard was calculated to be 31,7,27 and 15 cases,respectively.The accuracy and specificity of multi-slice spiral CT for the diagnosis of gastrointestinal acute abdomen were calculated to be higher than that of ultrasound(P<0.05),the misdiagnosis rate of multi-slice spiral CT was lower than that of ultrasound(P<0.05),and the comparison of sensitivity and leakage rate between multi-slice spiral CT and ultrasound for the diagnosis of gastrointestinal acute abdomen showed that there was no statistically significant difference(P>0.05).Conclusion Multi-slice spiral CT a
作者
兰浩云
王亚敏
王世俊
Lan Haoyun;Wang Yamin;Wang Shijun(Departmentof Emergency Medicine,Anyang People′s Hospital,Anyang 455000,China;Cardiac Intensive Care Unit,Anyang People′s Hospital,Anyang 455000,China)
出处
《实用医技杂志》
2024年第9期638-641,共4页
Journal of Practical Medical Techniques
关键词
多探头的计算机断层扫描
超声检查
急腹症
诊断
Multidetector computed tomography
Ultrasnography
Abdomen,acute
Diagnosis
