多层螺旋CT检查在肠梗阻诊断中的应用价值  

Application Value of Multi-slice Spiral CT in Diagnosis of Intestinal Obstruction

作　　者：蒋剑斌 Jiang Jianbin(Yongzhou Third People's Hospital,Yongzhou 425000,Hunan Province,China)

机构地区：[1]永州市第三人民医院,湖南永州425000

出　　处：《中国社区医师》2024年第16期95-97,共3页Chinese Community Doctors

摘　　要：目的:探讨多层螺旋CT检查在肠梗阻诊断中的应用价值。方法:选取2021年4月—2023年7月永州市第三人民医院收治的疑似肠梗阻患者100例作为研究对象,均实施腹部X线检查、多层螺旋CT检查,以病理诊断结果作为“金标准”,比较不同检查诊断肠梗阻的效能,以及对肠梗阻类型、肠梗阻病因的诊断符合率,并分析受试者对不同检查的认可度。结果:100例患者经病理检查确诊肠梗阻70例。多层螺旋CT检查诊断肠梗阻的特异度、阳性预测值、灵敏度、准确率高于腹部X线检查,差异有统计学意义(P<0.05)。多层螺旋CT检查对肠梗阻类型(机械性肠梗阻、绞窄性肠梗阻、动力性肠梗阻)、肠梗阻病因(肠粘连、肠肿瘤、肠套叠)的诊断符合率高于腹部X线检查,差异有统计学意义(P<0.05)。受试者对多层螺旋CT检查的总认可度高于腹部X线检查,差异有统计学意义(P<0.001)。结论:多层螺旋CT检查诊断肠梗阻的效能较高,利于医生明确肠梗阻类型、肠梗阻病因,且获得较多受试者认可。Objective:To explore the application value of multi-slice spiral CT in the diagnosis of intestinal obstruction.Methods:A total of one hundred patients with suspected intestinal obstruction admitted to Yongzhou Third People's Hospital from April 2021 to July 2023 were selected as the study objects.Abdominal X-ray examination and multi-slice spiral CT examination were performed.Pathological diagnosis results were used as the"gold standard"to compare the efficacy of different examinations in the diagnosis of intestinal obstruction,as well as the diagnosis coincidence rate of types and causes of intestinal obstruction,and to analyze the subjects'recognition of different examinations.Results:Pathological examination confirmed intestinal obstruction in 70 of 100 patients;the specificity,positive predictive value,sensitivity and accuracy of multi-slice spiral CT in the diagnosis of intestinal obstruction were higher than those of abdominal X-ray examination,and the differences were statistically significant(P<0.05);the diagnostic coincidence rate of multi-slice spiral CT for ileus type(mechanical ileus,strangulated ileus,dynamic ileus)and ileus etiology(intestinal adhesion,intestinal tumor,intussusception)was higher than that of abdominal X-ray examination,and the difference was statistically significant(P<0.05);the overall recognition of MSCT was higher than that of abdominal Xray examination,and the difference was statistically significant(P<0.001).Conclusion:Multi-slice spiral CT has a high diagnostic efficiency for intestinal obstruction,which is helpful for doctors to identify the types and causes of intestinal obstruction,and is recognized by more subjects.

关 键 词：肠梗阻 多层螺旋CT 诊断效能 

分 类 号：R574.2[医药卫生—消化系统] R816.5[医药卫生—内科学]