摘要
目的探讨不同影像学检查方法在非创伤性急腹症诊断中的应用价值,为临床实践中影像学检查的合理选择提供依据。方法回顾性分析135例诊断明确,临床资料完整的非创伤性急腹症病例的腹部X线片、超声、CT等影像资料,统计不同影像学检查对非创伤性急腹症的符合率。结果 135例非创伤性急腹症中,X线片的符合率23.7%;超声符合率为32.6%;CT的符合率为87.4%。其中X线片在诊断肠梗阻、消化道穿孔中符合率分别为74.2%、68.8%;超声在胆系结石诊断中的符合率为65.4%;CT则在整体急腹症诊断符合率具有明显优势,三者差异有统计学意义(χ2=504.11,P<0.05)。结论合理使用影像学检查技术能有效提高非创伤性急腹症的诊断符合率,使急腹症患者得到及时、准确、有效的治疗,减少并发症的发生。
Objective To explore the value of different imaging examination methods in the diagnosis of non-traumatic acute abdomen, to provide the basis for a reasonable choice of imaging examination in clinical practice. Methods Retrospectively analysing of 135 cases diagnosed , and complete clinical data of acute abdomen in cases of non-traumatic acute abdominal X-ray film, ultrasound, CT imaging date, statistically different imaging examinations coincidence rate of non-traumatic acute abdomen. Results One hundred and thirty-five cases of non-traumatic acute abdomen X-ray film compliance rate of 23.7%. Ultrasound in line with the rate of 32.6%. CT compliance rate of 87.4%. X-ray film has obvious advantages in the rate of diagnosis of intestinal obstruction, gastrointestinal perforation in line with the rate of 74.2%,68.8%, respectively. Ultrasound in the diagnosis of biliary stones in line with the rate of 65.4%. CT was in line with the overall diagnosis of acute abdomen. Significant differences among the three were ex-isted（χ2=504.11,P＆lt;0.05）. Conclusion Rational use of imaging techniques can effectively improve the rate of diag-nosis of non-traumatic acute abdomen, to get timely, accurate and effective treatment of patients with acute abdomen, reduce the incidence of complications.
出处
《实用医学影像杂志》
2014年第5期324-327,共4页
Journal of Practical Medical Imaging
关键词
急腹症
体层摄影术
X线
诊断
Abdomen,acute
Tomography,X-ray
Diagnosis
