螺旋CT在常见急腹症病因诊断和处理中的价值

目的：探讨螺旋CT在常见急腹症病因诊断和处理中的价值。方法：回顾性分析经手术或临床证实的120例常见急腹症的螺旋CT征象,比较螺旋CT检查前后的诊断、治疗方案、手术符合率。结果：120例常见急腹症的病因中,急性胰腺炎20例,肠梗阻24例,消化道穿孔10例,胆系疾病15例,泌尿系结石13例,急性阑尾炎8例,妇科疾病7例,创伤性疾病23例。在CT检查前,病因诊断正确70例（58.3%）,经螺旋CT检查后病因诊断正确112例（93.3%）,经CT确诊后,使临床治疗方案发生改变25例（20.8%）。结论：螺旋CT是一种快捷、简便、有效的影像学检查方法,对常见急腹症的病因诊断具有重要价值,可提高临床正确处理急腹症的能力。

The value of spiral CT in the diagnosis and management of common acute abdomen

Objective：To evaluate the value of spiral CT in the diagnosis and management of common acute abdomen. Methods：The CT findings of 120 cases with common acute abdomen confirmed by surgical findings or clinical follow-up were analyzed retrospectively.Diagnosis concordance,treatment,and operation concordance were compared.Results：The etiology resulted in common acute abdomen in 120 cases included acute pancreatitis 20 cases,intestinal obstruction 24 cases, digestive tract perforation 10 cases, biliary disease 15 cases, urinary calculi 13 cases, acute appendicitis 8 cases, gynecologic disease 7 cases, traumatic disease 23 cases. The diagnosis of the causes of acute abdomen in 70 cases （58.3%） by clinic and in 112 cases （93.3%） by SCT scan was correct. After sure diagnosis by CT scan,the clinical management was changed in 25 cases （20.8%）. Conclusion： Spiral CT is a rapid, simple and effective imaging technique.It plays an important role in the diagnosis of common acute abdomen and help surgeons to improve the ability to correctly manage acute abdomen.