摘要
目的 探讨腹部X线、超声、CT检查对肠梗阻的诊断及意义。方法 回顾性分析华西医院2002年11月～2005年6月367例手术治疗的肠梗阻病例的临床资料，对比手术前X线、超声、CT检查作出的诊断与手术后的诊断。结果 X线、超声、CT对是否存在肠梗阻的诊断正确率分别是91．94％、81．56％、95．88％；对梗阻部位判断的准确率分别是80.30％、37.99％、85．57％；对梗阻原因诊断的正确率分别为42.69％、31．85％、81．44％。对绞窄性肠梗阻诊断的正确率分别为14．63％、63．18％、82．14％。结论 X线、CT对是否存在肠梗阻及梗阻的部位的判断上无显著差异，但CT在对梗阻的原因及绞窄性肠梗阻的诊断上明显优于X线、超声检查，超声对于绞窄性肠梗阻的诊断有一定意义。
Objective To investigate the diagnostic value of radiography, ultrasonography （US） and CT for intestinal obstruction. Methods 367 patients with intestinal obstruction from November 2002 to June 2005 who underwent the operation were reviewed retrospectively. The diagnostic value of clinical radiography, US and CT for intestinal obstruction was comparatively studied. Results The correct proportions of diagnosis of intestinal obstruction for radiography, US and CT were 91.94%, 81.56% and 95.88% ; obstructive locations were 80.30%, 37.99% and 85. 57% ; the obstructive causes were 42.69%, 31.85% and 81.44% ; the correct proportions of diagnosis of strangulated intestinal obstruction were 14.63%, 63.18% and 82.14%. Conclusions There was no evident difference in diagnosis of obstruction and obstructive location between radiography and CT, but CT was found to be more accurate at determining the causes of obstruction and detecting strangulation. US is helpful in the diagnosis of strangulated intestinal obstruction.
出处
《实用临床医药杂志》
CAS
2006年第1期53-55,共3页
Journal of Clinical Medicine in Practice
关键词
X线
超声
CT
肠梗阻
诊断
radiography
ultrasonography
computerised tomography
diagnosis
