Department of Diagnostic and Interventional Radiology, University of Turin, San Luigi Gonzaga University Hospital, Regione Gonzole 10, 10043, Orbassano (Torino), Italy.
Clin Imaging. 2013 Sep-Oct;37(5):902-7. doi: 10.1016/j.clinimag.2013.02.016. Epub 2013 Jun 12.
To assess the accuracy of 64-row computed tomography (CT) in the differential diagnosis of acute abdomen in the emergency department.
Prospective analysis of 181 patients with surgically treated acute abdomen.
In 158/181 cases, CT was totally concordant with surgical repertoire. Partial concordance was found in 15 cases. Overall sensitivity was 87.3% when only cases of complete concordance were considered, 95.6% if also partial concordance cases were included.
CT showed high reliability in the differential diagnosis of acute abdomen surgically treated, although associated conditions can sometimes be missed.
评估 64 排 CT 在急诊科急性腹痛鉴别诊断中的准确性。
对 181 例经手术治疗的急性腹痛患者进行前瞻性分析。
181 例患者中，158 例 CT 与手术结果完全一致，15 例存在部分一致。仅考虑完全一致的病例时，总体敏感度为 87.3%，如果包括部分一致的病例，敏感度为 95.6%。
CT 在外科治疗的急性腹痛鉴别诊断中具有较高的可靠性，尽管有时可能会遗漏相关情况。
