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目的:探究对急性阑尾炎患者应用计算机断层扫描(CT)诊断的临床应用效果。方法:选自肇庆市高要区禄步中心卫生院2011年至2013年收治的急性阑尾炎患者50例,所有患者同时接受CT和超声诊断,对其临床资料以回顾性的方法进行分析,并将影像学资料和术后病理结果进行对比,比较2种诊断方法的临床应用价值。结果:超声诊断的准确度及特异度分别为84.0%、38.0%,CT诊断的准确度及特异度分别为98.0%、92.0%,差异具有统计学意义(P<0.05);超声检查的灵敏度为92.0%,CT检查的灵敏度为98.0%,差异无统计学意义(P>0.05)。结论:对急性阑尾炎患者应用超声或CT检查均具有重要的临床意义,但CT检查方式的准确度和特异度更具有优越性。
Objective: To investigate the clinical application of computed tomography (CT) in patients with acute appendicitis. Methods: Fifty patients with acute appendicitis admitted to Lu Bu Center Health Center, Gaoyao District, Zhaoqing City from 2011 to 2013 were enrolled in this study. All patients underwent both CT and ultrasonography. The clinical data were analyzed retrospectively. Imaging data and postoperative pathological results were compared, the clinical value of two diagnostic methods were compared. Results: The accuracy and specificity of ultrasonic diagnosis were 84.0% and 38.0% respectively. The accuracy and specificity of CT diagnosis were 98.0% and 92.0% respectively, with statistical significance (P <0.05). The sensitivity of ultrasonic examination was 92.0%, the sensitivity of CT examination was 98.0%, the difference was not statistically significant (P> 0.05). Conclusion: The application of ultrasound or CT in patients with acute appendicitis has important clinical significance, but the accuracy and specificity of CT examination have more advantages.