摘要
目的:本文主要探究螺旋CT、MRI应用在SAP(急性重症胰腺炎)中的诊断准确率,对两种诊断方式(CT、MRI诊断)在临床中的诊断价值展开评估。方法:纳入本次研究的40例患者为本院2017年1月~2019年1月收治的急性重症胰腺炎患者,均经两种方式进行诊断,即为多层螺旋CT(第一组)、MRI诊断(第二组),分析两组诊断结果存有的差异,对螺旋CT、MRI应用在SAP中的价值进行相应的评价。结果:第一组CT诊断准确共38例,准确率为95.0%;第二组MRI检查之后37例诊断准确,准确率为92.5%;第一组患者经相应的诊断之后其准确率和第二组的准确率间对比无差异,组别间数据的分析和比对无统计学意义(P>0.05)。第一组经相应的诊断之后其漏诊率、误诊率和第二组间对比无差异,组别间数据的分析和比对无统计学意义(P>0.05)。结论:SAP患者在临床中经应用不同的诊断方式螺旋展开检查,CT、MRI均可良好的诊断效果,有效的保障诊断准确率得以进一步提升,临床主治医师可按照诊断结构为患者制定出与其相符合的治疗方案,进而保障患者预后的改善。在SAP患者的MRI和螺旋CT诊断结果比较统一,诊断准确率比较高,但MRI诊断仪器价格比较高,推广容易受到临床的限制。
Objective:This paper mainly explored the diagnostic accuracy of spiral CT and MRI in SAP(acute severe pancreatitis),and evaluated the diagnostic value of CT and MRI in clinic.Methods:40 patients were included in this study to our hospital during January 2017~January 2019 patients of acute severe pancreatitis,were diagnosed by two ways,namely for MDCT(first group),MRI diagnosis(second group),analysis the diagnosis results are similar between the two groups,the value of application of spiral CT and MRI in SAP accordingly.Results:In the first group,CT diagnosis was accurate in 38 cases,with an accuracy rate of 95.0%.In the second group,37 cases were diagnosed accurately after MRI examination,with an accuracy rate of 92.5%.There was no difference in accuracy between the first group and the second group after the corresponding diagnosis,and there was no statistical significance in the analysis and comparison of data between groups(P>0.05).After the corresponding diagnosis in the first group,there was no difference in the missed diagnosis rate,misdiagnosis rate and the comparison between the second group,and there was no statistical significance in the analysis and comparison of data between groups(P>0.05).Conclusion:In the clinical practice of SAP patients,the application of different diagnostic methods of spiral expansion examination can achieve good diagnostic effect in CT and MRI,and the effective assurance of diagnosis accuracy can be further improved.The clinical attending physician can formulate the treatment plan in accordance with the diagnosis structure for the patients,so as to ensure the improvement of the prognosis of the patients.The diagnostic results of MRI and spiral CT in SAP patients are relatively uniform,and the diagnostic accuracy is relatively high.However,the price of MRI diagnostic instruments is relatively high,and the promotion is subject to clinical limitations.Therefore,CT diagnosis is more suitable for application and promotion.
作者
赵彬彬
ZHAO Bin-bin(Department of Radiology,People's Hospital of Wuqing District,Tianjin,Tianjin 301700)
出处
《中国医疗器械信息》
2020年第4期8-9,60,共3页
China Medical Device Information
关键词
SAP
螺旋CT
诊断
MRI
SAP
spiral CT
diagnosis
magnetic resonance imaging(MRI)
