Value of multi-slice spiral CT and detection of serum inflammatory markers in diagnosis of acute appendicitis
10.7619/jcmp.201723009
- VernacularTitle:多层螺旋CT及血清炎性标志物检测对急性阑尾炎的诊断价值
- Author:
Xiaojun LIU
1
;
Baohai WANG
;
Dongping WANG
;
Jingtao SUN
;
Xiaosen ZHOU
Author Information
1. 河北省唐山市第三医院放射科
- Keywords:
MSCT;
serum inflammatory markers;
acute appendicitis,diagnosis
- From:
Journal of Clinical Medicine in Practice
2017;21(23):28-30,34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of multi-slice spiral CT (MSCT) and serum inflammatory markers in diagnosis of acute appendicitis.Methods A total of 78 patients with acute appendicitis who were admitted in our hospital from November 2015 to November 2016 were included in the study.Different CT grading,postoperative pathological types (simple appendicitis,purulent appendicitis,gangrenous appendicitis),WBC count of different pathogenic bacteria (E.coli,P.aeruginosa,and K.pneumoniae),NEUT％,and CRP level were detected.Results With the increasing of CT grading,WBC count,NEUT％,and CRP level were gradually elevated (P ＜ 0.05).WBC count,NEUT％,and CRP level in patients with simple appendicitis were significantly less than those with purulent appendicitis,and gangrenous appendicitis.And above indicators of patients with purulent appendicitis were significantly less than those with gangrenous appendicitis,and the pathological type showed a significant difference (P ＜ 0.05).The WBC count,NEUT％,and CRP level among patients with different pathogenic bacteria showed no significant difference (P ＞ 0.05).Conclusion Dynamic monitoring of WBC count,NEUT％,and CRP level and MSCT examination can contribute to more accurate diagnosis of acute appendicitis and the estimation of condition.
