多层螺旋CT及超声检查对非外伤性急腹症诊断效能对照分析.doc

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1、多层螺旋CT及超声检查对非外伤性急腹症诊断效能对照分析　　·127CHINESEJOURNALOFCTANDMRI,OCT.2019,Vol.17,No.10TotalNo.120论著DOI:10.3969/j.issn.1672-5131.2019.10.041RONGZeng-xia,NIEHu,ZHANGJun-jian.DepartmentofEmergency,WestChinaHospitalSichuanUniversity,Chengdu610000,SichuanProvince,China[Abstract]

2、ObjectiveToinvestigatethediagnosticefficacyofmulti-slicespiralCT(MSCT)andultrasonographyinnon-traumaticacuteabdomen.Methods85patientswithnon-traumaticacuteabdomenwhoweretreatedinourhospitalfromJanuaryxxtoDecemberxxwereselectedastheresearchobjects,andthediagnosticaura

3、cyofthetwoexaminationsfornon-traumaticacuteabdomenwaspared.ResultsThecoincidencerateofMSCTinthediagnosisofnon-traumaticacuteabdomenwas98.82%(84/85),whichwassignificantlyhigherthanthatoftransabdominalultrasoundinthediagnosisofnon-traumaticacuteabdomen91.76%(78/85)(χ2=

4、4.722,P=0.030).MSCTimagesofacutecholecystitisshowededemaaroundthegallbladder.InMurphy'ssignofacutecholecystitis,themainultrasonographicsignsweregallbladderwallthickening,MSCTimagesofacutepancreatitisshowedpancreaticswellingandunevendensity.Ultrasoundshoweddiffusepanc

5、reaticenlargement.TheMSCTimagesofmechanicalintestinalobstructionweretheproximalintestinalobstructionandthedistalnon-dilatedintestinalobstruction.Ultrasoundexaminationshoweddilatationofintestineandintestinaleffusion.MSCTandUltrasoundcaneffectivelydisplaythetypicalimag

6、ingmanifestationsofcalculiandappendicitis.ConclusionMSCTandultrasoundcaneffectivelydisplaytheimagefeaturesofdifferentnon-traumaticacuteabdomen,butthecoincidencerateofMSCTindiagnosisofnon-traumaticacuteabdomenisbetterthanthatofultrasound.[Keywords]MSCT;Ultrasonography

7、;Non-traumaticAcuteAbdomen;DiagnosticEfficiency;ContrastAnalysis　　急腹症是指腹腔内、盆腔或腹膜后组织及脏器短时间内出现病理情况，诸多文献报道，急腹症患者主要腹部剧烈疼痛为主要症状和体征，随着病情严重程度的上升，患者可伴有出现全身炎症反应临床综合征[1-2]。　　从疾病分类中，急腹症分为创伤性与非创伤性，创伤急腹症多存在明确外伤史，临床中短时间内即可做出正确诊断。　　非创伤性急腹症则多为内因引发，病因较为复杂且进展迅速。　　影像学检查对非外伤性急腹症的早期病因诊断具

8、有重要的临床价值，可让非创伤性患者得到及时、有效的治疗，以此保障预后[3]。　　经腹壁超声和MSCT检查均为目前临床影像学检查的常用有效手段，超声成像简便易行、重复性好、无创伤，MSCT检查扫描时间短、可多方位成像，为进一步探讨MSCT及超声检查对非外伤性急腹症