螺旋CT重建技术在急性肠梗阻患者病因的诊断价值  

Diagnostic Value of Spiral CT Reconstruction in the Etiology of Acute Intestinal Obstruction

作　　者：孙中显 Sun Zhongxian(Department of Radiology,Puyang County People's Hospital,Henan,Fuyang 457100)

机构地区：[1]濮阳县人民医院,河南濮阳457100

出　　处：《辽宁医学杂志》2020年第4期47-49,共3页Medical Journal of Liaoning

摘　　要：目的分析螺旋CT重建技术在急性肠梗阻患者病因的诊断价值。方法随机选取我院2017年1月-2018年1月收治的急性肠梗阻患者40例,分别接受内镜手术、CT检查及腹部平片检查。结果螺旋CT阳性率、小肠低位率、小肠梗阻率高于腹部平片(P<0.05),结肠率低于腹部平片(P<0.05)。CT机械性肠梗阻率高于腹部平片(P<0.05),缺血性肠梗阻量表高于腹部平片(P>0.05),差异比较无统计学意义,动力性肠梗阻率低于腹部平片(P<0.05)。螺旋CT阳性率低于内镜(P>0.05),差异比较无统计学意义;小肠低位梗阻率、结肠梗阻比于内镜(P>0.05),差异比较无统计学意义;小肠高位根梗阻比高于内镜(P>0.05),差异比较无统计学意义。螺旋CT小肠机械性肠梗阻率比低于内镜(P>0.05),差异比较无统计学意义;动力性肠梗阻率、缺血性肠梗阻率高于内镜(P>0.05),差异比较无统计学意义。结论螺旋CT对急性肠梗阻病位及病因诊断结果与内镜诊断价值相同,建议术前使用。Objective To investigate the diagnostic value of spiral CT reconstruction in the etiology of acute intestinal obstruction.Methods 40 patients with acute intestinal obstruction admitted to our hospital from January 2017 to January 2018 were randomly selected,and were examined by endoscopy,spiral CT and abdominal plain film.Results The detection rates of the location and etiology of the spiral CT showed significant difference with those of abdominal plain film(P<0.05),while the location and etiology detected by spiral CT had no significant difference with those of endoscopy(P>0.05).Conclusion The diagnostic value of spiral CT in the location and etiology of acute intestinal obstruction is the same as that of endoscopy,which can be used before operation.

关 键 词：螺旋CT重建技术 内镜 腹部平片 急性肠梗阻 病位 病因 价值 

分 类 号：R816.5[医药卫生—放射医学] R574.2[医药卫生—临床医学]