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目的:观察小儿急性阑尾炎采用多层螺旋CT诊断的价值。方法:选取本院2015年2月12日~2017年2月12日住院部收治的小儿急性阑尾炎患者188例,采用随机抽取的方式分为2组,观察组——94例(多层螺旋CT),对照组——94例(手术病理);观察2组患者在不同检查后的诊断结果。结果:行多层螺旋CT诊断有94例,分级准确率为95.74%,其中检查结果表明盲肠背肌侧腰大肌前侧66例、盲肠内侧12例、盲肠外侧6例;行手术病理检查有94例,检查结果表明盲肠背肌侧腰大肌前侧68例、盲肠内侧18例、盲肠外侧8例;由此表明观察组患者应用多层螺旋CT准确率89.36%,假阳性率为10.64%(P<0.05)。结论:小儿急性阑尾炎患者应用多层螺旋CT诊断具有较为理想的诊断准确率,临床上值得推广及应用。
Objective: To observe the value of multi-slice spiral CT in the diagnosis of acute appendicitis in children. Methods: A total of 188 children with acute appendicitis admitted to our hospital from February 12, 2015 to February 12, 2017 were randomly divided into two groups. The observation group - 94 patients (multi-slice spiral CT ), Control group - 94 cases (pathology); the results of two groups of patients after different examinations were observed. Results: There were 94 cases diagnosed by multi-slice spiral CT, and the grading accuracy was 95.74%. Among them, the results showed that the anterior pectoralis major muscle of cecum muscle was 66 cases, the medial side of cecum was 12 cases, the lateral cecum was 6 cases. 94 cases, the test results showed that the cecum muscle anterior psoas muscle 68 cases, 18 cases of medial cecum and 8 cases of lateral cecum; This shows that the observation group of patients with multi-slice spiral CT accuracy of 89.36%, the false positive rate was 10.64% (P <0.05). Conclusion: The diagnosis of acute appendicitis in children with multi-slice spiral CT diagnosis has an ideal rate of diagnosis, the clinical worthy of promotion and application.