The visual ability into vermiform appendix by using 16 slices multidetector computed tomography scanner
Keywords:
Vermiform appendix, Multidetector computed tomography scanner, AdultAbstract
Objective: This research studies the visual ability into vermiform appendix by using 16 slices multidetector computed tomography scanner and comparing the different of visual ability into vermiform appendix, vermiform appendix diameter and ages. In addition, efficiency of 16 slices multidetector computed tomography scanner was also evaluated.
Method: This research is retrospective descriptive study of 119 Patients that they were evaluated with multidetector computed tomography scanner. Before evaluation, patients were not symptoms defining the diagnosis of acute appendicitis. Only one of radiologist read computed tomography. Radiologist does not know the appendectomy history of patients. The data analysis was using descriptive statistics, Chi-square test, independent sample t-test, sensitivity and specificity for evaluation the efficiency of visual ability into vermiform appendix.
Results: The patients with multidetector computed tomography scanning were almost of 101 female patients (84.87%), age > 35 years of 75 patients (63.03%), age average of 54.93 years, 105 patients with visual ability into vermiform appendix. Appendix position was almost found at paracolic (47 patients, 44.76%) midline (37 patients, 35.24%) and retrocecal/retrocolic (21 patients, 20%), respectively. Contrast media were found in appendix of 50 patients (47.61%). The visual ability into vermiform appendix was significant difference in ages (χ2=9.504), p ≤ 0.01. The vermiform appendix diameter was significant difference in gender and ages p <0.05 and 0.02 respectively. The analysis of sensitivity, specificity, accuracy, positive predictive value and negative predictive from multidetector computed tomography scanner were of 100%, 77.80%, 96.04%, 96.19% and 100% respectively.
Conclusion and discussion: From the efficiency evaluation, 16 slices multidetector computed tomography scanner is an instrument that high accuracy for visual ability into vermiform appendix. This instrument help diagnose appendicitis resulting in reducing of appendicitis diagnosis and surgical errors. In addition, the using multidetector computed tomography scanner is an important role for help to plan treatment and surgical wound opening technique.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของโรงพยาบาลสิงห์บุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับโรงพยาบาลสิงห์บุรี และบุคคลากรท่านอื่นๆในโรงพยาบาลฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
