改良Alvarado评分联合CT多平面重建在儿童急性阑尾炎中的诊断价值

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摘要目的探讨改良Alvarado 评分联合CT 多平面重建（MPR）诊断儿童急性阑尾炎的价值。方法选取2019年1月至2021年9月井冈山大学附属医院普外科收治的116 例疑似急性阑尾炎患儿进行回顾性分析，患儿均行改良Alvarado 评分及MPR 检查，以术后病理诊断为金标准，分析不同诊断方法的灵敏度、特异度、阳性预测值、阴性预测值。结果 116 例疑似急性阑尾炎患儿中，109 例经手术后病理确诊为急性阑尾炎。联合诊断的灵敏度、特异度、阳性预测值、阴性预测值高于Alvarado 评分系统诊断及MPR 诊断，差异有统计学意义（P＜0.017）。结论改良Alvarado 评分联合MPR 在患儿急性阑尾炎诊断中有较高的灵敏度、特异度、阳性预测值、阴性预测值。因此在临床工作中有推广使用的价值。

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	裴大兵
	张翼臻
	邱声涛
	熊春
	王冬芽
	肖仁顺
	贺咏宁
	张旭华

关键词 ：儿童, 急性阑尾炎, Alvarado 评分, 多平面重建

Abstract：Objective To investigate the value of modified Alvarado score combined with CT multiplanar reconstruction(MPR) in the diagnosis of acute appendicitis in children. Methods A total of 116 children with suspected acute appendicitis who were treated in the Department of General Surgery of the Affiliated Hospital of Jinggangshan University from January 2019 to September 2021 were analyzed retrospectively. All children underwent modified Alvarado score and MPR. Postoperative pathological diagnosis results were taken as the gold standard, the sensitivity, specificity, positive predictive value and negative predictive value of different diagnostic methods were statistically analyzed. Results Among 116 children with suspected acute appendicitis, 109 cases were diagnosed as acute appendicitis by postoperative pathology. The sensitivity, specificity, positive predictive value and negative predictive value of the combined diagnosis of the diagnostic methods were higher than Alvarado scoring system and MPR diagnosis，and the differences were statistically significant (P＜0.017). Conclusion Modified Alvarado score combined with MPR had higher sensitivity, specificity, positive predictive value and negative predictive value in the diagnosis of acute appendicitis in children. Therefore,it has the value of popularization and application in clinical work.

Key words： Children Acute appendicitis Alvarado score Multiplanar reconstruction

基金资助:江西省吉安市科技计划项目（吉市科计字〔2021〕8 号-104）。

作者简介: 裴大兵（1985-），男，江西吉安人，硕士，研究方向：外科。

引用本文:

裴大兵；张翼臻；邱声涛；熊春；王冬芽；肖仁顺；贺咏宁；张旭华. 改良Alvarado评分联合CT多平面重建在儿童急性阑尾炎中的诊断价值[J]. 中国当代医药, 2022, 29(16): 76-78转82.
PEI Dabing；ZHANG Yizhen； QIU Shengtao；XIONG Chun；WANG Dongya；XIAO Renshun； HE Yongning；ZHANG Xuhua. Diagnostic value of modified Alvarado score combined with CT multiplane reconstruction in children with acute appendicitis. 中国当代医药, 2022, 29(16): 76-78转82.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I16/76

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