多层螺旋CT与腹部X线在肠梗阻中的诊断价值  

The value of multislice spiral CT and abdominal X-ray in the diagnosis of intestinal obstruction

作　　者：易宏锋[1] 卢月月[2] 谢琼[3] 

机构地区：[1]荆州市第一人民医院消化一科,湖北荆州434000 [2]荆州市第一人民医院消化二科,湖北荆州434000 [3]荆州市第一人民医院内分泌一科,湖北荆州434000

出　　处：《胃肠病学和肝病学杂志》2015年第9期1098-1099,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨多层螺旋CT及腹部X线检查在肠梗阻诊断中的价值。方法选取就诊于荆州市第一人民医院普通外科的100例肠梗阻患者,并对所有患者首先行多层螺旋CT检查,然后行腹部X线检查,然后以手术证实为肠梗阻作为金标准,最后比较多层螺旋CT检查与X线在肠梗阻中诊断的符合率及病因分析。结果多层螺旋CT在100例肠梗阻的患者中,诊断符合率为95.0%,X线在100例肠梗阻患者中的诊断符合率为72.0%,差异有统计学意义(P<0.05);在病因分析方面,多层螺旋CT较X线在肠梗阻中更能发现肠粘连、肿瘤、炎症感染等病因,差异有统计学意义(P<0.05)。结论多层螺旋CT较X线在肠梗阻的诊断中具有更高的诊断准确率及较低的误诊率,因此,对于肠梗阻患者,临床医师可以首选CT检查。Objective To investigate the value of multislice CT and abdominal X-ray examination in diagnosis of in- testinal obstruction. Methods One hundred cases of intestinal obstruction in the First Renmin Hospital of Jingzhou City given multislice CT examination firstly and then given abdominal X-ray examination, and lastly intestinal obstruction was conf r~.：i by surgery as the gold standard of diagnosis. The accuracy of multisliee spiral CT examination and X-ray ex- aminatiou in diagnosis of intestinal obstruction and cause analysis were compared. Results In 100 cases of intestinal obstruction, the diagnostic accordance rate of multislice CT was 95.0% , and diagnostic coincidence rate of X-ray was 72.0% , there was significantly different （P 〈 0.05）. Compared with X-rays, the diagnosis of multislice spiral CT was better in adhesion, cancer, inflammation infection and other causes in intestinal obstruction, there was significantly dif- ferent （P 〈 0.05）. Conclusion Compared with X-ray, multislice spiral CT has a higher accuracy rate in the diagnosis of intestinal obstruction, and a lower rate of misdiagnosis, so for patients with intestinal obstruction, clinicians should choose firstly clinical CT examination.

关 键 词：多层螺旋CT 肠梗阻 误诊率 诊断价值 

分 类 号：R574.2[医药卫生—消化系统]