摘要
目的分析胃肠道穿孔腹部平片和多层螺旋CT诊断价值。方法选取本院收治的102例胃肠道穿孔患者临床资料进行回顾性分析。将行腹部平片检查45例患者设为对照组,将行多层螺旋CT检查57例患者设为观察组,对比两组诊断价值与患者舒适度。结果对照组36例显示有膈下游离气体,阳性率为80.00%,观察组腹腔积气的阳性率为96.49%(55/57),比较差异有统计学意义(P<0.05);观察组图像清晰度、患者舒适度明显优于对照组,且操作难度明显低于对照组,比较差异显著具统计学上的意义(P<0.05)。结论多层螺旋CT检查较腹部平片检查具有较高诊断价值,在胃肠道穿孔定位与致病原因诊断中充分发挥作用,且操作较为简单,值得临床推广。
Objective To analyze the diagnostic value of gastrointestinal perforation KUB and multislice spiral CT.Methods Retrospectively analysis of 102 cases of gastrointestinal perforation in patients from our hospital were performed.The patients were divided into two groups according to the time of diagnosis used in different ways： 45 patients who set in the abdominal plain film were regarded as control group and 57 patients who with multislice spiral CT were regarded as observation group.The diagnostic value and patient comfort of two groups were compared.Results A display of free gas below the diaphragm was found in 36 patients in control group and the positive rate was 80.00% while the positive rate of the observation group pneumoperitoneum was 96.49% （55/57）,and the difference between two groups was statistically significant （P〈0.05）.The image clarity and comfort of patients in observation group was better than those in control group, and the difficulty of the operation in observation group was significantly lower than that in control group, and the difference was statistically significant （P〈0.05）.Conclusion Spiral CT scan has higher diagnostic value as compared with KUB examination in gastrointestinal perforation location, which can play critical role in the disease diagnosis.In addition, the operation is relatively simple.All these advantages indicate that this method is worth of promotion.
出处
《生物医学工程学进展》
CAS
2017年第1期24-26,共3页
Progress in Biomedical Engineering
关键词
胃肠道穿孔
多层螺旋CT
腹部平片
诊断价值
gastrointestinal perforation, multislice spiral CT, KUB, diagnostic value
