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目的:对超声和CT在进行小儿急慢性阑尾炎的诊断过程中的运用价值进行对比。方法:对我院经术后病理确定是阑尾炎的小儿患者进行分析,取6岁到12岁之间的患儿共250个,对比在手术前通过CT和超声进行的判断结果,对超声和CT在诊断小儿急、慢性阑尾炎过程中的灵敏度参数进行对比,这样可以比较出两组数据在灵敏度方面出现的差异;逐步计算出在急性阑尾炎病例中,对单纯性阑尾炎和非单纯性阑尾炎的诊断灵敏度,并进行一定的统计学方面的分析。结果:在对6岁到12岁之间的小儿急性阑尾炎诊断过程中发现,在诊断急性单纯性阑尾炎时出现了很大的灵敏度差异,而在对非单纯性阑尾炎和慢性阑尾炎进行检测的过程中没有出现明显的统计学差异。结论:因小儿急慢性阑尾炎进行临床诊断需要影像学检查,而通过CT进行扫描可能会对小儿恶性肿瘤的罹患率造成增加,所以建议首选超声进行小儿急慢性阑尾炎的诊断,如果发现超声的检查结果比较可疑而临床的症状又比较典型的情况下可使用CT来进行检查。
Objective: To compare the value of ultrasound and CT in the diagnosis of acute and chronic appendicitis in children. Methods: A total of 250 pediatric patients aged 6 to 12 years were enrolled in this study. The results of CT and ultrasonography before surgery were compared. The results of ultrasound and CT In the diagnosis of pediatric acute and chronic appendicitis in the sensitivity of the parameters compared, so that the two sets of data can be compared in the sensitivity of the differences; gradually calculated in the case of acute appendicitis, simple appendicitis and non-simple appendicitis diagnostic sensitivity , And make some statistical analysis. Results: During the diagnosis of pediatric acute appendicitis between 6 and 12 years old, a large difference in sensitivity was found in the diagnosis of acute simple appendicitis. However, in the detection of non-simple appendicitis and chronic appendicitis No significant statistical difference occurred. Conclusion: The clinical diagnosis of acute and chronic appendicitis in children requires imaging examination, and CT scan may increase the incidence of malignant tumors in children, it is recommended to use ultrasound for the diagnosis of acute and chronic appendicitis in children, if the findings of ultrasound examination More suspicious and clinical symptoms are more typical cases can be used to check CT.