比较多层螺旋CT、B超、腹部X线平片诊断肠梗阻的临床价值  

Comparison of Clinical Value in Diagnosing Ileus with MSCT and US and Plain Abdominal Radiography

作　　者：李冲云[1] 蔡勇[1] 刘志[1] 李穗燕[1] 

机构地区：[1]广东省茂名市人民医院CT科,广东茂名525000

出　　处：《泰州职业技术学院学报》2008年第3期46-48,共3页Journal of Taizhou Polytechnic College

摘　　要：目的比较多层螺旋CT(MSCT)、B超、腹部X线平片诊断肠梗阻的临床价值。方法回顾性分析经手术证实为肠梗阻且术前行MSCT、B超及腹部X线平片检查的97例患者资料。结果MSCT、B超、腹部X线平片诊断出肠梗阻存在的例数分别为89例(92﹪)、64例(66﹪)、71例(73﹪);正确判断梗阻部位的例数分别为89例(92%)、59例(61%)、47例(48%);正确判断梗阻原因的例数分别为85例(88%)、40例(41%)、18例(19%)。结论在显示肠梗阻的存在、确定梗阻部位和梗阻原因方面MSCT具有很大的优势,我们认为肠梗阻患者可首选MSCT全腹部检查。Objective Comparison of clinical value in diagnosing ileus with MSCT and US and plain abdominal radiography. Methods： 97 patients with ileus who underwent the operation were reviewed retrospectively. All patients were examined with MSCT and US and plain abdominal radiography before the operation. Results： The correct cases of diagnosis ileus for MSCT,US and radiography were 89 cases（ 92 % ）, 64 cases（66 % ）and 71cases（ 73 %）;the obstructive locations were 89 cases（92 % ）, 59 cases（61% ）and 47 cases（ 48 % ）;the obstructive causes were 85 cases（ 88% ）,40 cases（ 41% ）and 18 cases（ 19 % ）.Conclusion： MSCT is a very useful instrument in diagnosing ileus and can be as the first choice for ileus diagnosis.

关 键 词：肠梗阻 体层摄影术 MSCT B超 X线 

分 类 号：R574.2[医药卫生—消化系统]