多层螺旋CT对老年急腹症患者的临床诊断价值

目的：研究多层螺旋CT (MSCT)对老年急腹症患者的临床诊断价值。方法选择2014年1月至2015年7月在我院诊治的老年急腹症患者161例，对所有患者实施MSCT诊断，分析急腹症患者的疼痛区域，对比161例患者CT诊断结果与临床病理结果，分析典型患者的影像学情况。结果患者的疼痛区域中，占比最高者为右上腹，占26.71%，其次是中腹，占18.63%，左下腹占比最少，为11.18%。161例患者经MSCT诊断后，除泌尿系结石的检出率为94.23%，肠梗阻的检出率为94.59%，以及急性阑尾炎的检出率为93.75%外，其余疾病项目的检出率均为100.00%。CT诊断结果与临床病理结果相比，差异均无统计学意义(P>0.05)。结论利用MSCT对老年急腹症患者实施诊断，与临床病理结果比较符合率较高，对于后续治疗具有重要的辅助参考价值，值得推广。

Clinical diagnostic value of multi-slice spiral CT in elderly patients with acute abdomen

Objective To study the clinical diagnostic value of multi-slice spiral CT (MSCT) in elderly pa-tients with acute abdomen. Methods A total of 161 elderly patients with acute abdomen in our hospital from January 2014 to July 2015 were included in the study, which all underwent MSCT. The pain area of the patients was analyzed. The CT findings of the patients were then compared with pathological results. The imaging characteristics of the typical patients were studied. Results In the pain area of patients, right upper quadrant constituted the highest proportion (26.71%), followed by the center (18.63%), left lower abdomen (11.18%). Based on MSCT, the detection rates of urinary calculi, intestinal obstruction, acute appendicitis, other items were 94.23%, 94.59%, 93.75%,100.00%, respectively. There was no significant difference between CT diagnosis and clinical pathological results (P>0.05). Conclusion MSCT diag-nosis of elderly patients with acute abdomen is in high accordance with the pathological and clinical results, which has important auxiliary reference value for follow-up treatment and is worthy of promotion.