[1]章友太.多层螺旋CT联合CPR在早期急性阑尾炎诊断中的应用价值[J].医学信息,2022,35(20):148-150.[doi:10.3969/j.issn.1006-1959.2022.20.041]
　ZHANG You-tai.Application Value of Multi-slice Spiral CT Combined with CPR in the Diagnosis of Early Acute Appendicitis[J].Journal of Medical Information,2022,35(20):148-150.[doi:10.3969/j.issn.1006-1959.2022.20.041]
点击复制

多层螺旋CT联合CPR在早期急性阑尾炎诊断中的应用价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年20期
页码:
148-150
栏目:
诊疗技术
出版日期:
2022-10-15

文章信息/Info

Title:
Application Value of Multi-slice Spiral CT Combined with CPR in the Diagnosis of Early Acute Appendicitis
文章编号:
1006-1959（2022）20-0148-03
作者:
章友太
（抚州市临川区第二人民医院影像科，江西 抚州 344000）
Author(s):
ZHANG You-tai
(Department of Imaging,the Second People’s Hospital of Linchuan District,Fuzhou 344000,Jiangxi,China)
关键词:
多层螺旋CT; 曲面重建; 急性阑尾炎
Keywords:
Multi-slice spiral CT; Curved surface reconstruction; Acute appendicitis
分类号:
R656.8；R816.5
DOI:
10.3969/j.issn.1006-1959.2022.20.041
文献标志码:
A
摘要:
目的 研究多层螺旋CT联合曲面重建（CPR）在早期急性阑尾炎诊断中的应用价值。方法 抽选本院2019年9月-2021年9月疑似早期急性阑尾炎患者60例。根据手术病理检查结果将确诊为早期急性阑尾炎患者33例设为观察组，将非急性阑尾炎患者27例设为对照组。两组均行多层螺旋CT与CPR检查，观察单一多层螺旋CT检查与多层螺旋CT联合CPR诊断早期急性阑尾炎的CT征象及病灶差异显示率，分析两种方法诊断早期急性阑尾炎的敏感度、特异度、准确性及阳、阴性预测值、Kappa值。结果 重建前后CT征象差异明显，重建后CT征象周围渗出、积液、阑尾穿孔、阑尾结石显示率较重建前高（P＜0.05）；重建前后多层螺旋CT诊断早期急性阑尾炎的敏感度分别为66.67%、90.91%，特异度分别为59.26%、92.59%，准确性分别为63.33%、91.67%，阳性预测值分别为66.67%、93.75%，阴性预测值分别为59.26%、89.29%，Kappa值分别为0.259，0.832，重建后诊断效能较重建前高（P＜0.05）。结论 多层螺旋CT联合CPR有助于早期发现急性阑尾炎，可大大提高诊断效能，值得临床应用。
Abstract:
Objective To study the application value of multi-slice spiral CT combined with curved planar reconstruction (CPR) in the diagnosis of early acute appendicitis.Methods Sixty patients with suspected early acute appendicitis from September 2019 to September 2021 were selected. According to the results of surgical pathological examination, 33 patients diagnosed with early acute appendicitis were set as the observation group, and 27 patients with non-acute appendicitis were set as the control group. The two groups underwent multi-slice spiral CT and CPR examination. The CT signs and lesion difference display rate of single multi-slice spiral CT examination and multi-slice spiral CT combined with CPR examination in the diagnosis of early acute appendicitis were observed. The sensitivity, specificity, accuracy, positive and negative predictive value and Kappa value of the two methods in the diagnosis of early acute appendicitis were analyzed.Results There were significant differences in CT signs before and after reconstruction. The display rates of exudation, effusion, appendix perforation and appendix stones around CT signs after reconstruction were higher than those before reconstruction (P<0.05).The sensitivity of multi-slice spiral CT in the diagnosis of early acute appendicitis before and after reconstruction was 66.67% and 90.91%, the specificity was 59.26% and 92.59%, the accuracy was 63.33% and 91.67%, the positive predictive value was 66.67% and 93.75%, the negative predictive value was 59.26% and 89.29%, and the Kappa value was 0.259 and 0.832, respectively. The diagnostic efficiency after reconstruction was higher than that before reconstruction (P<0.05).Conclusion Multi-slice spiral CT combined with CPR can help the early detection of acute appendicitis, which can greatly improve the diagnostic efficiency and is worthy of further clinical promotion.

参考文献/References:

[1]García JMO,Marín FP,Bayo NM,et al.Acute appendicitis in children with multisystemic inflammatory syndrome associated to SARS-CoV-2 (MIS-C)[J].A Complication to Consider,2021,2(3):55-57.[2]Al Hashmi FY,Al Zuabi A,Hachim IY,et al.Conservative Management of Acute Appendicitis In The Era Of COVID 19: A Multicenter prospective observational study at The United Arab Emirates[J].International Journal of Surgery Open,2021,198(8):23-26.[3]Lotfallah A,Aamery A,Moussa G.816Managing Acute Appendicitis During the First Wave of the COVID-19 Pandemic: A Single-Centre Retrospective Study[J].British Journal of Surgery,2021,47(1):262-265.[4]Zahari F,Byrne H,Roslan F,et al.1464Breaking Tradition – A Rural DGH’s Experience of The Management of Acute Appendicitis During the First Wave of the COVID-19 Pandemic[J].British Journal of Surgery,2021,89(2):186-192.[5]Zhou XC,Chen QL,Huang CQ,et al.The clinical application value of multi-slice spiral CT enhanced scans combined with multiplanar reformations images in preoperative T staging of rectal cancer[J].Medicine (Baltimore),2019,98(28):e16374.[6]Zhu R,Lang F,Li M,et al.Postintubation Tracheal Rupture Detected by Virtual Endoscopy and Curved Planar Reformation[J].Anesthesiology,2019,32(10):44-45.[7]张雪辉,韩春蕾,王钦习.急性阑尾炎患者临床诊断中多层螺旋CT的应用及其准确性研究[J].中国CT和MRI杂志2021,65(10):2032-2036.[8]Thapa B,Sutanto E,Bhandari R.Thickness of subcutaneous fat is a risk factor for incisional surgical site infection in acute appendicitis surgery: a prospective study[J].BMC Surgery,2021,10(4):675-682.[9]Tseng CH.Metformin use is associated with a reduced risk of acute appendicitis in Taiwanese patients with type 2 diabetes mellitus[J].Scientific Reports,2021,27(5):76-77.[10]Miranda-Rosales LM,Kcam-Mayorca EJ,Jorge LA,et al.Use of drains and post-operative complications in secondary peritonitis for complicated acute appendicitis at a national hospital[J].Cir Cir,2021,87(5):540-544.[11]Graul I,Marintschev I,Rausch S,et al.Effect of different multiplanar reformation algorithms on image quality of intraoperative three-dimensional fluoroscopy[J].Journal of Hand Surgery (European Volume),2019,13(1):69-76.[12]肖信光,冯湛,李书院,等.MPR、CPR在儿童急性阑尾炎征象诊断中的价值[J].吉林医学,2019,32(4):406-411.[13]张天富,吴海璐,夏标,等.老年急性阑尾炎CT影像学特征与临床评估[J].中国临床实用医学,2019,38(33):14-16.[14]黄楚忠,谢健,刘银花,等.CPR联合PCT在早期阑尾炎诊断中的应用[J].齐齐哈尔医学院学报,2019,21(6):695-698.[15]黄文荣,曾勇,苏洁敏,等.多层螺旋CT增强扫描与高分辨率CT诊断周围型肺癌的应用价值[J].现代肿瘤医学,2020,28(11):989-993.[16]Mkbm A,Chungc ML,Jdm A,et al.Prospective Validation of the APPEND Clinical Prediction Rule for Appendicitis: A Cohort Study - ScienceDirect[J].Journal of Surgical Research,2020,12(6):588-592.[17]Schuster KM,Holena DN,Salim A,et al.American Association for the Surgery of Trauma emergency general surgery guideline summaries 2018: acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis, and small bowel obstruction[J].Trauma Surgery Acute Care Open,2019,21(9):1282-1284.

相似文献/References:

[1]那明娜.多层螺旋CT图像后处理技术在肺部结节鉴别诊断中的应用研究[J].医学信息,2022,35(11):169.[doi:10.3969/j.issn.1006-1959.2022.11.045]
　NA Ming-na.The Application of Multi-slice Spiral CT Image Post-processing Technology in the Differential Diagnosis of Pulmonary Nodules[J].Journal of Medical Information,2022,35(20):169.[doi:10.3969/j.issn.1006-1959.2022.11.045]
[2]袁 康,谭 伟.多层螺旋CT用于小细胞肺癌与肺鳞癌的鉴别诊断价值分析[J].医学信息,2018,31(16):148.[doi:10.3969/j.issn.1006-1959.2018.16.047]
　YUAN Kang,TAN Wei.Value of Multi-slice Spiral CT in Differential Diagnosis of Small Cell Lung Cancer and Lung Squamous Cell Carcinoma[J].Journal of Medical Information,2018,31(20):148.[doi:10.3969/j.issn.1006-1959.2018.16.047]
[3]柳登平,周国斌.高频超声联合多层螺旋CT在甲状腺癌诊断中的价值分析[J].医学信息,2022,35(14):141.[doi:10.3969/j.issn.1006-1959.2022.14.036]
　LIU Deng-ping,ZHOU Guo-bin.Value of High Frequency Ultrasound Combined with Multislice Spiral CT in Diagnosis of Thyroid Carcinoma[J].Journal of Medical Information,2022,35(20):141.[doi:10.3969/j.issn.1006-1959.2022.14.036]
[4]徐双武,王海燕.多层螺旋CT增强扫描鉴别肺癌的价值[J].医学信息,2019,32(22):168.[doi:10.3969/j.issn.1006-1959.2019.22.059]
　XU Shuang-wu,WANG Hai-yan.Multi-slice Spiral CT Enhanced Scan for the Value of Lung Cancer[J].Journal of Medical Information,2019,32(20):168.[doi:10.3969/j.issn.1006-1959.2019.22.059]
[5]王 迪.多层螺旋CT低剂量扫描鉴别诊断肺部小结节的价值[J].医学信息,2019,32(23):171.[doi:10.3969/j.issn.1006-1959.2019.23.055]
　WANG Di.The Value of Multi-Slice Spiral CT Low-Dose Scan in Differential Diagnosis of Pulmonary Nodules[J].Journal of Medical Information,2019,32(20):171.[doi:10.3969/j.issn.1006-1959.2019.23.055]
[6]张依琳.多层螺旋CT三维成像与X线检查在股骨颈骨折分型鉴别诊断中的应用价值[J].医学信息,2023,36(19):102.[doi:10.3969/j.issn.1006-1959.2023.19.021]
　ZHANG Yi-lin.Value of Multi-slice Spiral CT Three-dimensional Imaging and X-ray Examination in Differential Diagnosis of Femoral Neck Fracture[J].Journal of Medical Information,2023,36(20):102.[doi:10.3969/j.issn.1006-1959.2023.19.021]
[7]杨 涝,高军军.多层螺旋CT在胆道恶性肿瘤诊断中的应用价值[J].医学信息,2022,35(19):145.[doi:10.3969/j.issn.1006-1959.2022.19.042]
　YANG Lao,GAO Jun-jun.Application Value of Multi-slice Spiral CT in Diagnosis of Biliary Tract Malignant Tumor[J].Journal of Medical Information,2022,35(20):145.[doi:10.3969/j.issn.1006-1959.2022.19.042]
[8]周强强.多层螺旋CT冠脉钙化积分对冠心病诊断及风险预测的意义[J].医学信息,2020,33(14):167.[doi:10.3969/j.issn.1006-1959.2020.14.055]
　ZHOU Qiang-qiang.Significance of Multi-slice Spiral CT Coronary Calcification Score in Diagnosis and Risk Prediction of Coronary Heart Disease[J].Journal of Medical Information,2020,33(20):167.[doi:10.3969/j.issn.1006-1959.2020.14.055]
[9]王淑颖,王运兰,陈耀康,等.肾实质型肾盂癌多层螺旋CT增强扫描的影像表现[J].医学信息,2020,33(24):97.[doi:10.3969/j.issn.1006-1959.2020.24.026]
　WANG Shu-ying,WANG Yun-lan,CHEN Yao-kang,et al.The Imaging Manifestations of Enhanced Multi-slice Spiral CT in Renal Parenchymal Renal Pelvis Carcinoma[J].Journal of Medical Information,2020,33(20):97.[doi:10.3969/j.issn.1006-1959.2020.24.026]
[10]曾会龙,谢 懿,肖凯敏,等.多层螺旋CT联合动态对比增强磁共振成像在脊柱结核患者诊断中的价值[J].医学信息,2023,36(13):115.[doi:10.3969/j.issn.1006-1959.2023.13.023]
　ZENG Hui-long,XIE Yi,XIAO Kai-min,et al.Value of Multi-slice Spiral CT Combined with Dynamic Contrast-enhanced Magnetic Resonance Imaging in the Diagnosis of Spinal Tuberculosis Patients[J].Journal of Medical Information,2023,36(20):115.[doi:10.3969/j.issn.1006-1959.2023.13.023]

更新日期/Last Update: 1900-01-01