肠梗阻的腹部X线平片和CT临床诊断分析  

Abdominal X-ray Plain Film and CT in Diagnosis of Intestinal Obstruction

作　　者：邵生金 SHAO Shengjin(Radiology Department,Liaoyuan City Maternal and Infant＇s Hospital,Liaoyuan Jilin 136200,China)

机构地区：[1]吉林省辽源市妇婴医院放射科,吉林辽源136200

出　　处：《中国继续医学教育》2018年第29期82-83,共2页China Continuing Medical Education

摘　　要：目的探讨腹部X线平片与CT在肠梗阻临床诊断中的应用价值。方法以我院2010年6月—2017年6月收治的90例肠梗阻患者为研究对象,分别使用X先平片与CT检查,分析两种诊断方法的临床价值。结果腹部X线平片的诊断准确率为80%,CT诊断的准确率为90%,仅13.3%的患者可通过腹部X线平片诊断出发病原因,74.4%的患者可通过CT检查确定病因。CT诊断效果优于腹部X线平片,差异具有统计学意义(P <0.05)。结论在肠梗阻临床诊断中,相较于腹部X线平片而言,CT诊断的准确率更高,尤其是在病因诊断中,CT的应用效果远超于腹部X线平片诊断。Objective To investigate the value of abdominal X-ray plain flm and CT in the clinical diagnosis of intestinal obstruction. Methods 90 cases of intestinal obstruction treated in our hospital from June 2010 to June 2017 were studied. The clinical signifcance of the two diagnostic methods was analyzed by using the X first plain film and the CT examination. Results The diagnostic accuracy of abdominal X-ray plain flm was 80%, and the accuracy rate of CT diagnosis was 90%. Only 13.3% of the patients could diagnose the cause by abdominal X-ray plain flm, and 74.4% of the patients could determine the cause by CT examination. The diagnostic efect of CT was better than that of abdominal X-ray plain flm, and the diference was statistically significant （P 〈 0.05）. Conclusion In the diagnosis of intestinal obstruction, the accuracy of CT diagnosis is higher than that of abdominal X-ray plain film, especially in the diagnosis of etiology, the efect of CT is far more than the diagnosis of abdominal X-ray plain flm.

关 键 词：肠梗阻 腹部X线平片 CT 准确率 临床诊断 病因诊断 

分 类 号：R656[医药卫生—外科学]