摘要
目的探究多普勒彩超(CDFI)与多层螺旋CT(MSCT)在妇科急腹症患者诊断中的应用价值。方法回顾性分析2016年5月至2020年4月在我院治疗的疑似妇科急腹症患者352例,分析其CDFI与MSCT资料,以临床诊断及病理检查结果为诊断“金标准”,比较两种检查方法对妇科急腹症的诊断效能及对各类妇科急腹症的诊断准确率;比较两种检查方法检查结果与临床诊断及病理检查结果的一致性;采用ROC曲线分析两种检查方法对妇科急腹症的诊断价值。结果CDFI检查结果与临床诊断及病理检查结果的一致性(Kappa=0.680)高于MSCT(Kappa=0.504);CDFI诊断妇科急腹症的阴性预测值及准确性高于MSCT,CDFI对异位妊娠的诊断准确率高于MSCT(P<0.05)。经ROC曲线分析得,CDFI诊断妇科急腹症的AUC大于MSCT(P<0.05)。结论CDFI诊断妇科急腹症的准确率及对异位妊娠的诊断准确率高于MSCT,且CDFI对妇科急腹症的诊断价值大于MSCT。
Objective To explore the application value of color Doppler flow imaging(CDFI)and multi-slice spiral CT(MSCT)in diagnosing patients with the acute gynecological abdomen.Methods A retrospective analysis was performed on the 352 patients with suspected gynecological acute abdomen who were treated in the hospital from May 2016 to April 2020.Their CDFI and MSCT data were analyzed.Taking the clinical diagnosis and pathological examination results as the golden standard,the diagnostic efficiency of the acute gynecological abdomen and the diagnostic accuracy rates of various gynecological acute abdomen by the two methods were compared.The consistency between the examination results of the two methods and the results of clinical diagnosis and pathological examination was compared.The diagnostic value of the two methods for gynecological acute abdomen was analyzed by ROC curves.Results The consistency between examination results of CDFI and clinical diagnosis,the pathological examination was higher than that between examination results of MSCT and clinical diagnosis,pathological examination(Kappa:0.680 vs.0.504).The negative predictive value and accuracy of CDFI in the diagnosis of the acute gynecological abdomen were higher than those of MSCT.The diagnostic accuracy rate of CDFI for ectopic pregnancy was higher than that of MSCT(P<0.05).ROC curve analysis showed that the AUC of CDFI in the diagnosis of the acute gynecological abdomen was greater than that of MSCT(P<0.05).Conclusion The diagnostic sensitivity and accuracy of the acute gynecological abdomen and diagnostic accuracy of ectopic pregnancy by CDFI are higher than MSCT.Moreover,the diagnostic value of CDFI is greater than that of MSCT for the acute gynecological abdomen.
作者
蹇利梅
郭曦
傅博
熊星
JIAN Li-mei;GUO Xi;FU bo;XIONG Xing(Department of radiology,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2021年第12期150-153,共4页
Chinese Journal of CT and MRI
关键词
彩色多普勒超声
多层螺旋CT
妇科急腹症
诊断价值
Color Doppler Flow Imaging
Multi-slice Spiral CT
Gynecological Acute Abdomen
Diagnostic Value
