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急性阑尾炎的CT分级对外科术后病理结果预测分析

魏芳

中国医学创新Issue(29):38-40,41,4.
中国医学创新Issue(29):38-40,41,4.DOI:10.3969/j.issn.1674-4985.2014.29.014

急性阑尾炎的CT分级对外科术后病理结果预测分析

CT Classification Prediction Analysis of Acute Appendicitis for Surgical Postoperative Pathological Results

魏芳1

作者信息

  • 1. 辽宁省丹东市第一医院 辽宁 丹东 118000
  • 折叠

摘要

Abstract

Objective:To explore prediction value of the CT classification for pathological results of acute appendicitis surgery postoperative. Method:73 patients from the emergency department of our hospital with suspected acute appendicitis were chosen,all the patients underwent multi-slice spiral CT scan and CT grading,underwent open operation treatment within 24 h,removal parts of appendix tissue were underwent pathologic examination as an accurate diagnosis of the disease,through statistical analysis method in diagnosis of CT classification whether a clear diagnosis value to predict pathological findings of acute appendicitis after surgery.Result:39 of all the 73 patients diagnosed as acute appendicitis,the positive diagnosis rate was high when grade 3 and above corresponding to the CT classification of acute appendicitis. According to the analysis of CT grade Roc,the area under the curve(AUC)was 0.946,there were significant differences(P<0.05),level 3 was selected as the cut-off value,the clinical pataints with a CT grading level 3 and above should be diagnosed as acute appendicitis. Conclusion:CT classification method can accurately predict the postoperative pathological results of acute appendicitis surgery,it can be used as clinical criteria for the diagnosis of acute appendicitis.

关键词

急性阑尾炎/CT分级/诊断/病理结果

Key words

Acute appendicitis/CT classification/Diagnosis/Pathologic results

引用本文复制引用

魏芳..急性阑尾炎的CT分级对外科术后病理结果预测分析[J].中国医学创新,2014,(29):38-40,41,4.

中国医学创新

1674-4985

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