摘要
目的:比较螺旋CT与X线腹部平片在急性肠梗阻诊断中的价值。方法:回顾性分析88例急性肠梗阻患者的临床资料。所有患者均接受X线腹部平片和螺旋CT扫描检查,比较两种检查技术的诊断符合率和误诊率,以及对急性肠梗阻类型和病因的诊断准确度。结果:螺旋CT的诊断符合率明显大于X线腹部平片,误诊率明显低于X线腹部平片,差异均有统计学意义(P<0.05);螺旋CT对绞窄性梗阻、动力性梗阻类型,以及对肠粘连、肿瘤、肠麻痹等病因的诊断准确率均优于X线腹部平片,差异有统计学意义(P<0.05)。结论:螺旋CT在急性肠梗阻诊断中的价值高于X线腹部平片。
Objective To compare clinical values of spiral CT and X-ray plain abdominal film in diagnosis of acute intestinalobstruction. Methods： The clinical data of 88 patients with acute intestinal obstruction were retrospectively analyzed. All patients underwent X-ray plain radiographs and spiral CT scans. The diagnostic coincidence rates and misdiagnosis rates of the two examinationswere compared. The diagnostic accuracy of the two examinations for acute intestinal obstruction and etiology were compared. Results：The diagnostic coincidence rate of spiral CT was significantly higher than that of X-ray plain abdominal film, while the misdiagnosisrate was significantly lower than that of X-ray plain abdominal film, and the differences were statistically significant （P〈0. 05）. Thediagnostic accuracies of spiral CT in the diagnosis of strangulated intestinal obstruction, dynamic obstruction type, intestine adhesion,tumor and intestinal paralysis were all better than those of X-ray plain abdominal film, and the differences were statistically significant（P〈0. 05）. Conclusions： Spiral CT has a higher value in the diagnosis of acute intestinal obstruction than X-ray plain abdominalfilm.
出处
《中国民康医学》
2017年第24期9-10,13,共3页
Medical Journal of Chinese People’s Health
关键词
螺旋CT
X线腹部平片
急性肠梗阻
诊断
Spiral CT
X-ray plain abdominal film
Acute intestinal obstruction
Diagnosis
