Head and Neck Imaging

Comparison of the Diagnostic Value of Multi-Slice Spiral CT and Ultrasound in Acute Appendicitis

Author:CHEN Li-shan, HUANG Wei, LIU Li-ping,et al.

affiliation:Special Dental Care Clinic, The First Affiliated Hospital of Fuzhou General Hospital of Nanjing Military Region, Putian 351100, Fujian Province, China

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Abstract

Objective To compare the diagnostic value of multi-slice spiral CT (MSCT) and ultrasound in acute appendicitis. Methods 60 cases of patients with acute appendicitis confirmed by surgery and histopathology who were admitted into the hospital during January 2013 to June 2015 were selected as the research objects. Ultrasound and abdominal multi-slice spiral CT were performed before surgery. The image features of the two were observed and analyzed. The results were compared with surgical and pathological findings. Results Compared with surgical and pathological findings, the accordant rates of MSCT in the diagnosis of acute simplex appendicitis, acute purulent appendicitis and acute gangrenous appendicitis were 78.6%, 100.0% and 100.0% while of ultrasound were 57.1%, 85.2% and 100.0%. The diagnostic accordant rate of MSCT in acute suppurative appendicitis was significantly higher than that of ultrasound and the difference was statistically significant (P<0.05). Conclusion Compared with ultrasound, the diagnostic accordant rate of MSCT in acute appendicitis is higher, especially in acute suppurative appendicitis.

【Keyword】Multi Slice Spiral CT; Ultrasound; Acute Appendicitis; Diagnostic Value

【Chart number】R445.3;R445.1;R656.9

【Document Identification Number】A

【DOI】10.3969/j.issn.1672-5131.2015.11.030