|
|
|
| Applicability of CT appendicitis scores in military patients with acute appendicitis |
| ZHANG Peng, DU Jiquan, SUN Baisheng, JIAO Jian |
| Imaging Department, Shandong Provincial Corps Hospital, Chinese People's Armed Police Force, Jinan 250014, China |
|
|
|
|
Abstract Objective To explore the applicability of the CT appendicitis score(CTAS) in military patients with acute appendicitis(AA). Methods A CTAS system was established through literature review and investigation. The CT examination data on 35 military patients with AA treated between September 2018 and August 2019 served as the AA group, while the CT examination data of 35 non-appendicitis military cases was randomly selected as the non-appendicitis (NA) group. The data on the two groups was retrospectively analyzed and their CTASs were recorded to reveal the difference between the two groups. The optimal cut-off point was determined based on the receiver operating characteristic curve (ROC curve) and the Youden Index (YI) to find out about the efficacy of the CTAS in diagnosing AA. Results The mean score of the AA group was 5.91±1.90, compared with 1.51±1.27 for the NA group, showing significant difference (P=0.001).There were statistically significant differences in the scores of different pathological types in AA group (P=0.001). The higher the CTAS was, the more serious the lesion was. The optimal cut-off point for AA diagnosis was CTAS=3.5(i.e., AA could be diagnosed when CTAS≥4), with a sensitivity of 91.40%, specificity of 94.30% and accuracy of 92.86%. Conclusions When the CTAS is used to diagnose military AA patients, the diagnostic efficiency is high with CTAS≥4.
|
|
Received: 18 January 2019
|
|
|
|
|
|
| [1] |
李文钗.多层螺旋CT与超声对急性阑尾炎患者的临床诊断价值[J].医学影像学杂志,2018,28(6):954-957.
|
| [2] |
Debnath J, George R A, Ravikumar R.Imaging in acute appendicitis: What, when, and why?[J].Med J Armed Forces India,2017,73(1):74-79.
|
| [3] |
汪先兵,谢培增,刘 剑, 等.南沙守岛官兵创伤与外科急危重疾病调查分析[J].海军医学杂志,2010,31(3):256-258.
|
| [4] |
李顺飞,李申龙,罗 娟, 等.某医院军队住院患者疾病谱调查[J].实用医药杂志,2008,25(12):1503-1505.
|
| [5] |
杨 晋,张期莲,杨文海.多层螺旋CT诊断急性阑尾炎临床应用分析[J].医学影像学杂志,2018,28(1):154-156.
|
| [6] |
Alvarado A.A practical score for the early diagnosis of acute appendicitis[J].Ann Emerg Med,1986,15(5):557-564.
|
| [7] |
Kanumba E S,Mabula J B,Rambau P,et al.Modified alvarado scoring system as a diagnostic tool for acute appendicitis at Bugando Medical Centre, Mwanza, Tanzania[J].BMC Surg,2011,17(11):4.
|
| [8] |
Andersson M,Andersson R E.The appendicitis inflammatory response score: a tool for the diagnosis of acute appendicitis that outperforms the Alvarado score[J].World J Surg,2008,32(8):1843-1849.
|
| [9] |
Chong C F,Adi M I,Thien A,et al.Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis[J].Singapore Med J,2010,51(3):220-225.
|
| [10] |
刘 文. 多层螺旋CT在急性阑尾炎诊断中的价值[D].上海:复旦大学,2013.
|
| [11] |
Karul M,Berliner C,Keller S,et al.Imaging of appendicitis in adults[J].Rofo,2014,186(6):551-558.
|
| [12] |
张琰君,宦 怡,刘 莹,等.正常阑尾的磁共振成像研究[J].实用放射学杂志,2008,24(6):779-781.
|
| [13] |
江志文,高小萌,郑 驰,等.多层螺旋CT联合超声对急性阑尾炎的诊断价值[J].实用放射学杂志,2019,35(3):400-402,421.
|
| [14] |
方 凡,赵博文,徐海珊,等.超声对急性阑尾炎阑尾周边高回声结构的分析[J].中华超声影像学杂志,2006,15(11):824-826.
|
| [15] |
王文利,林礼务,王 姝,等.超声显示阑尾盲端在诊断急性阑尾炎中的价值[J].中华超声影像学杂志,2015,24(12):1084-1085.
|
| [16] |
戚 乐,戴平丰,丁建平,等.阑尾腔内气体MDCT征象诊断阑尾炎的价值[J].临床放射学杂志,2010,29(6):787-789.
|
| [17] |
朱 斌,席时富,李 茗,等.急性阑尾炎MRI诊断的临床意义[J].临床放射学杂志,2009,28(12):1705-1708.
|
| [18] |
刘太峰,龙德云.多层螺旋CT诊断急性阑尾炎的临床价值分析[J].医学影像学杂志,2017,27(5):985-987.
|
| [19] |
王 康,赵泽华,王 之,等.应用多层螺旋CT多方位重建技术诊断急性阑尾炎的价值[J].中华放射学杂志,2005,39(2):177-180.
|
| [20] |
罗建彬.阑尾超声检查评分系统在成人急性阑尾炎诊断中的应用[J].中国医学影像学杂志,2016,24(8):580-584.
|
| [21] |
Al-Khayal K A,Al-Omran M A.Computed tomography and ultrasonography in the diagnosis of equivocal acute appendicitis.A meta-analysis[J].Saudi Med J,2007,28(2):173-180.
|
| [22] |
郭 毅,蒋明森,孙宁东,等.我国阑尾炎爆发的流行病学、临床学和组织学特征及其产生原因[J].中国科技成果,2016,17(6):48-49.
|
|
|
|
2020, Vol. 31 
