多层螺旋CT与腹部X线平片对急性肠梗阻的诊断价值对比  

Comparison on the Value of Multislice Spiral CT,and Abdominal X-ray Plain Film in Diagnosing Acute Intestinal Obstruction

作　　者：金鑫[1] JIN Xin(CT Room,Tanghe County's Peoples Hospital,Nanyang,Henan 473400)

机构地区：[1]南阳市唐河县人民医院CT室,河南唐河473400

出　　处：《中国肛肠病杂志》2022年第2期36-38,共3页Chinese Journal of Coloproctology

摘　　要：目的:比较多层螺旋CT与腹部X线平片检查对急性肠梗阻的诊断价值。方法:选择于我院接受手术治疗的160例急性肠梗阻患者为研究对象,患者术前均接受腹部X线平片及多层螺旋CT检查。以术中所见及病理学结果为标准,比较多层螺旋CT和X线平片检查的诊断效果;同时,就两种检查方法的诊断体验进行对比分析。结果:与腹部X线平片相比,多层螺旋CT对急性肠梗阻的检出率更高,漏诊率和误诊率均更低,P<0.05。多层螺旋CT对绞窄性肠梗阻和肿瘤所致肠梗阻的检出率均为100%,明显高于腹部X线平片(36.17%,54.67%),P<0.05。多层螺旋CT的图像清晰度、舒适度评分明显高于腹部X线平片,操作复杂度评分明显低于腹部X线平片,P<0.05。结论:多层螺旋CT诊断急性肠梗阻的效果及体验方面均优于腹部X线平片,临床应用价值更高。Objective To compare the value of multislice spiral CT(MSCT),and abdominal X-ray plain film in diagnosing acute intestinal obstruction(AIO).Methods The 160AIO patients treated in author’s hospital were enrolled in this study:before surgery they all received inspection of MSCT and abdominal Xray plain film,the inspection efficacy of both were compared with each other by using operating finding and pathological exam.results as contrast standard;the diagnostic experience of both inspections were compared and analysed.Results Compared to abdominal X-ray plain film,MSCT for diagnosing AIO had such merits as higher detected rate,lower misdiagnostic rate and the rate of missed diagnosis,higher detected rate of IO induced by strangulated IO(100%vs 36.17%)and tumor(100%vs 54.67%),the higher score ratings on figure clarity and comfort degree of figure,and the lower score ratings on operative complex degree than abdominal X-ray plain film’ones(all,P<0.05).Conclusion MSCT in diagnostic efficacy and experience for AIO is superior to abdominal X-ray plain film,thus,its clinical application value is higher.

关 键 词：急性肠梗阻 多层螺旋CT 腹部X线平片 诊断 

分 类 号：R574.2[医药卫生—消化系统]