摘要
目的分析64层螺旋CT(64-MSCT)检查对急性肠梗阻(AIO)的诊断效能及病因诊断符合率的影响。方法回顾性选取2018年10月至2021年2月南阳张仲景医院收治的67例疑似AIO患者,均接受手术病理、X线、64-MSCT检查。以手术病理检查为“金标准”,分析64-MSCT检查、X线检查的灵敏度、准确度、特异度,并比较64-MSCT检查、X线检查对不同类型梗阻检出率及梗阻病因诊断符合率。结果67例疑似AIO的患者经手术病理检查证实阳性51例,其中机械性梗阻23例,动力性梗阻13例,绞窄性梗阻15例;64-MSCT检查灵敏度(90.20%)、准确度(88.06%)高于X线检查(72.55%、71.64%)(P<0.05)。64-MSCT检查对绞窄性梗阻检出率(100.00%)较X线检查(66.67%)高,且对肠套叠所致梗阻诊断符合率(93.75%)高于X线诊断(56.25%)(P<0.05)。结论64-MSCT检查应用于AIO诊断中具有较高灵敏度、准确度,有利于临床分析梗阻类型及病因,制定综合全面治疗方案,以改善预后。
Objective To analyze the effect of 64-slice spiral computed tomography(64-MSCT)on the diagnostic efficiency of acute intestinal obstruction(AIO)and the coincidence rate of etiological diagnosis.Methods Sixty-seven patients with suspected AIO in Nanyang Zhangzhongjing Hospital were selected for a retrospective study from October 2018 to February 2021.All of them underwent surgical pathological examination,X-ray examination and 64-MSCT examination.Surgical pathological examination was used as the“gold standard”,the sensitivity,accuracy and specificity of 64-MSCT examination and X-ray examination were analyzed,and 64-MSCT examination and X-ray examination were compared for different types of obstruction and the diagnostic coincidence rate of obstruction cause.Results In this group of 67 patients with suspected AIO,51 were confirmed positive by surgical pathological examination,including 23 cases of mechanical obstruction,13 cases of dynamic obstruction,and 15 cases of strangulated obstruction.The sensitivity of 64-MSCT(90.20%)and the accuracy(88.06%)were higher than X-ray examination(72.55%,71.64%)(P<0.05).In addition,64-MSCT examination had a higher detection rate(100.00%)for strangulated obstruction than X-ray examination(66.67%),and the diagnostic coincidence rate for obstruction caused by intussusception(93.75%)was higher than X-ray diagnosis(56.25%)(P<0.05).Conclusion The 64-MSCT examination has high sensitivity and accuracy in the diagnosis of AIO,which is conducive to clinical analysis of the types and causes of obstruction,and the development of a comprehensive treatment plan to improve the prognosis.
作者
方芳
蒋烈夫
张新生
FANG Fang;JIANG Liefu;ZHANG Xinsheng(Department of Imaging,Nanyang Zhangzhongjing Hospital,Nanyang 473000,China)
出处
《河南医学研究》
CAS
2021年第30期5714-5716,共3页
Henan Medical Research
关键词
急性肠梗阻
64层螺旋CT
X线
诊断效能
acute intestinal obstruction
64-slice spiral computed tomography
X-ray
diagnostic power
