超声诊断肠梗阻的价值分析  

Value Analysis of Ultrasound for the Diagnosis of Intestinal Obstruction

作　　者：陈衍池 CHEN Yan-chi(Department of Ultrasound,Youxi County General Hospital,Fujian Province,Fujian Sanming 365100)

机构地区：[1]福建省尤溪县总医院超声科,福建三明365100

出　　处：《中国医疗器械信息》2023年第14期16-18,176,共4页China Medical Device Information

摘　　要：目的:研究超声诊断肠梗阻的价值。方法:选取2012年7月~2022年6月于本院收治的疑似肠梗阻患者50例,对疑似肠梗阻患者分别进行超声诊断、CT诊断、X射线诊断,以病理组织检查或术后情况作为金标准。结果:CT诊断下单纯机械性肠梗阻、绞窄性肠梗阻、动力性肠梗阻各项肠梗阻类型占比分别为95.00%、100.00%、91.67%,超声诊断分别为90.00%、92.31%、83.33%,X射线诊断分别为80.00%、76.92%、75.00%,对比结果差异显著(P<0.05)。CT诊断下肠肿瘤、肠粘连、肠套叠各项肠梗阻病因占比分别为100.00%、93.33%、80.00%,超声诊断分别为92.00%、86.67%、80.00%,X射线诊断分别为84.00%、73.33%、60.00%,对比结果差异显著(P<0.05)。CT诊断下空肠、回肠、空回肠、结肠各项肠梗阻部位占比分别为100.00%、95.45%、85.71%、100.00%,超声诊断分别为90.00%、90.91%、85.71%、83.33%,X射线诊断分别为80.00%、81.82%、71.43%、66.67%,对比结果差异显著(P<0.05)。CT诊断下肠梗阻患者诊断舒适度、诊断满意度评分分别为(88.24±3.42)分、(96.46±1.28)分,超声诊断分别为(95.41±1.19)分、(95.20±1.54)分,X射线诊断分别为(87.53±3.70)分、(86.15±3.46)分,对比结果差异显著(P<0.05)。CT诊断下肠梗阻患者诊断准确性、诊断灵敏度、诊断特异度分别为90.00%、95.56%、40.00%,超声诊断分别为82.00%、91.11%、20.00%,X射线诊断分别为70.00%、85.37%、0,对比结果差异显著(P<0.05)。结论:超声诊断肠梗阻的诊断效能介于CT诊断和X射线诊断之间,但是其诊断准确性更加接近CT诊断,分析其原因是超声受患者胃肠道气体、肥胖及超声医师操作手法等影响,CT不受上述因素影响,但是超声诊断具有无辐射、检查方便、实时动态、价廉等优点。Objective:To study the value of ultrasound in the diagnosis of intestinal obstruction.Methods:Selected 50 patients with suspected intestinal obstruction admitted to our hospital from July 2012 to June 2022,and performed ultrasound diagnosis,CT diagnosis and X-ray diagnosis respectively,with pathological tissue examination or postoperative condition as the gold standard.Results:The CT diagnosis of simple mechanical ileus,strangulation ileus and dynamic ileus were 95.00%,100.00%and 91.67%respectively,ultrasound was 90.00%,92.31%and 83.3.3%respectively,and X-ray diagnosis was 80.00%,76.92%and 75.00%respectively,with significant difference(P<0.05).The causes of intestinal tumor,intestinal adhesion and intussusception were 100.00%,93.33%and 80.00%,respectively,ultrasound was 92.00%,86.67%and 80.00%,respectively,and X-ray diagnosis was 84.00%,73.33%and 60.00%,respectively(P<0.05).CT cases of inferior jejunum,ileum,jejunum and colon were 100.00%,95.45%,85.71%and 100.00%,90.00%,90.90%,90.91%,85.71%and 83.33%,respectively.X-ray diagnosis was 80.00%,81.82%,71.43%and 66.67%,respectively,and the comparison results were significantly different(P<0.05).The diagnostic comfort and diagnostic satisfaction scores of patients with CT diagnosis were(88.24±3.42)score,(96.46±1.28)points,(95.41±1.19)points and(95.20±1.54)points,and X-ray diagnosis was(87.53±3.70)points and(86.15±3.46)points,respectively,with a significant difference(P<0.05).The diagnostic accuracy,diagnostic sensitivity,and diagnostic specificity of patients with intestinal obstruction under CT diagnosis were 90.00%,95.56%and 40.00%,ultrasound diagnosis was 82.00%,91.11%and 20.00%,respectively,and X-ray diagnosis was 70.00%,85.37%and 0,respectively,the comparison results were significantly different(P<0.05).Conclusion:Ultrasound diagnosis of intestinal obstruction between CT diagnosis and X-ray diagnosis,but its diagnostic accuracy closer to CT diagnosis,analysis of the reason because the ultrasound gastrointestinal gas,obesity and ultrasound physician operation

关 键 词：超声诊断 CT诊断 X射线诊断 肠梗阻 肠肿瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学]