摘要
目的:探讨64层螺旋CT、B超、腹部X线平片诊断肠梗阻的临床价值。方法:选择2009年10月～2010年10月我院经手术证实为肠梗阻的218例患者为研究对象,其中64层螺旋CT检查135例;B超检查167例;腹部X线平片196例。比较三种方法术前诊断正确性。结果:64层螺旋CT、B超、腹部X线平片对肠梗阻诊断的准确率分别为94.1%、86.8%、72.4%;对肠梗阻部位诊断的准确率分别为80.7%、63.4%和53.5%;对梗阻原因的诊断准确率分别为82.9%、59.2%、34.1%;对绞窄诊断的准确率分别为76.7%、58.1%和27.9%;64层螺旋CT对肠梗阻、梗阻部位和梗阻原因的诊断与B超、X线片相比具有显著性差异(P<0.01);B超与X线片相比也具有具有显著性差异(P<0.01)。结论:64层螺旋CT对肠梗阻诊断具有较高的敏感性,明显优于B超及腹部X线平片检查,对临床及时制定治疗方案有极大的帮助。
Objective ： To compare spiral CT, B ultrasound, abdominal X-ray diagnosis of the clinical value of intestinal obstruction. Methods：October 2009 - October 2010 confirmed by surgery in our hospital 218 patients were bowel obstruction study, of which 135 cases by multi-slice spiral CT examinations B ultrasonic examination 167 cases; abdominal X-ray 196 cases. Comparison of three methods of preoperative diagnostic accuracy. Results： The multi-slice spiral CT, B ultrasound, abdominal X-ray diagnostic accuracy of small bowel obstruction were 94.1%, 86.8 %, 72.4 % ; on the part of the diagnostic accuracy of small bowel obstruction were 80.7 %, 63.4% and 53.5 % ; of obstruction because the diagnostic accuracy was 82.9% , 59.2%, 34. 1% ; of strangulation the diagnostic accuracy of 76.7%, 58. 1% and 27.9% ; multislice spiral CT of bowel obstruction, site of obstruction, and obstruction. Diagnosis and causes of B-, X-ray film with a significant difference （ P 〈0.01） ; BUS compared with the X-ray also has a significant difference （ P 〈0.01）. Conclusion： Spiral CT diagnosis of intestinal obstruction with high sensitivity is better than BU and abdominal X-ray examination, and clinical treatment plan in time of great help.
出处
《医学影像学杂志》
2011年第7期1052-1054,共3页
Journal of Medical Imaging
关键词
肠梗阻
超声检查
X线诊断
体层摄影术.X线计算机
Intestinal obstruction
Ultrasonography
X-ray diagnosis
Tomography, X-ray computed
