腹部X线检查和CT检查在急性肠梗阻中的诊断价值  

Diagnostic values of Abdominal X-ray and CT Examination in Acute Intestinal Obstruction

作　　者：王军[1] Wang Jun(Department of Imaging,Tianchang People's Hospital,Tianchang 239300,Anhui Province,China)

机构地区：[1]天长市人民医院影像科,安徽天长239300

出　　处：《中外医药研究》2023年第30期138-140,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究腹部X线检查和CT检查在急性肠梗阻中的诊断价值。方法:选取2020年1月—2023年6月天长市人民医院收治的24例疑似急性肠梗阻患者作为研究对象,均进行腹部X线检查和CT检查,以临床综合诊断结果为“金标准”,比较腹部X线检查和CT检查对急性肠梗阻的诊断效能。结果:腹部X线检查和CT检查对急性肠梗阻的特异度、误诊率和阳性预测值比较,差异无统计学意义(P>0.05);CT检查诊断急性肠梗阻的灵敏度、准确性和阴性预测值高于腹部X线检查,漏诊率低于腹部X线检查,差异有统计学意义(P<0.05)。腹部X线检查与CT检查对结肠梗阻、小肠梗阻的检出率比较,差异无统计学意义(P>0.05)。腹部X线检查与CT检查对肠粘连、肿瘤、肠套叠检出率比较,差异无统计学意义(P>0.05)。结论:CT检查在急性肠梗阻中的诊断效能优于腹部X线,灵敏度、准确性和阴性预测值更高,漏诊率更低。Objective:To investigate the diagnostic value of abdominal X-ray examination and CT examination in acute intestinal obstruction.Methods:24 patients with suspected acute intestinal obstruction admitted to Tianchang People's Hospital from January 2020 to June 2023 were selected as the study subjects,and all of them were subjected to abdominal X-ray examination and CT examination,and the clinical diagnostic results were taken as the"gold standard"to compare the diagnostic efficacy of abdominal X-ray examination and CT examination on acute intestinal obstruction.Results:Comparison of the specificity,misdiagnosis rate and positive predictive value of acute intestinal obstruction between abdominal X-ray examination and CT examination showed no statistically significant difference(P>0.05);the sensitivity,accuracy and negative predictive value of CT examination in the diagnosis of acute intestinal obstruction were higher than that of abdominal X-ray examination,and the rate of leakage of diagnosis was lower than that of abdominal X-ray examination,and the difference was statisticallysignificant(P<0.05).Comparison of detectionrate of colonicobstruction and smallbowel obstruction betweenabdominal Xray examination and CT examination,the difference was not statistically significant(P>0.05).Comparison of detection rate of intestinal adhesion,tumor and intussusception between abdominal X-ray examination and CT examination,the difference was not statistically significant(P>0.05).Conclusion:The diagnostic efficacy of CT examination in acute intestinal obstruction is better than that of abdominal X-ray,with higher sensitivity,accuracy and negative predictive value,and lower leakage rate.

关 键 词：急性肠梗阻 腹部X线 CT 诊断 

分 类 号：R73[医药卫生—肿瘤]