摘要
目的研究螺旋CT联合X线腹部平片在诊断肠梗阻中的应用效果。方法方便选取2018年3月—2019年4月该院收治的84例肠梗阻患者作为此次研究目标,按照随机法将患者分为对照组和观察组,每组42例,其中对照组患者单采用X线腹部平片进行诊断,观察组患者则采用螺旋CT联合X线腹部平片进行诊断,观察两组患者的检出率、图像清晰、患者舒适度、肠梗阻诊断正确率、梗阻位置判断准确率、梗阻原因判断准确率等临床应用效果。结果观察组患者肠梗阻检出率明97.62%显高于对照组的61.91%,差异有统计学意义(χ^2=16.594,P<0.05)。观察组检测方式在图像清晰率76.19%、患者感觉舒适率66.67%等明显高于对照组个图像清晰率45.24%、患者感觉舒适38.10%,差异有统计学意义(χ^2=8.435、6.873,P<0.05)。观察组患者肠梗阻诊断正确率92.86%、梗阻位置判断准确率90.48%、梗阻原因判断准确率97.62%,明显高于对照组患者的肠梗阻诊断正确率54.76%、梗阻位置判断准确率45.24%、梗阻原因判断准确率59.52%,差异有统计学意义(χ^2=15.765、19.704、18.101,P<0.05)。结论螺旋CT联合X线腹部平片在诊断肠梗阻中能够提高诊断效果,具有较高的临床应用价值。
Objective To study the application of spiral CT combined with X-ray abdominal plain film in the diagnosis of intestinal obstruction.Methods From March 2018 to April 2019,convenient 84 patients with intestinal obstruction in the hospitol were selected as the objective of this study.According to the random method,the patients were divided into control group and observation group,42 cases in each group.The patients in control group were diagnosed by X-ray abdominal plain film alone,while those in observation group were diagnosed by spiral CT combined with X-ray abdominal plain film.The detection rate,clear image and patient relaxation of the two groups were observed.The clinical effects of moderation,the correct rate of intestinal obstruction diagnosis,the accurate rate of obstruction location judgment,the accurate rate of obstruction cause judgment,etc.Results The detection rate of intestinal obstruction in the observation group was 97.62%,which was significantly higher than 61.91%in the control group,the difference was statistically significant(χ^2=16.594,P<0.05).In the observation group,the image sharpness rate was 76.19%,the comfort rate was 66.67%,which was significantly higher than that in the control(45.24%,38.10%),the difference was statistically significantgroup,(χ^2=8.435,6.873,P<0.05).The diagnostic accuracy of intestinal obstruction in the observation group was 92.86%,the location of obstruction was 90.48%,the cause of obstruction was 97.62%,which was significantly higher than that in the control group(54.76%,45.24%,59.52%),the difference was statistically significant(χ^2=15.765,19.704,18.101,P<0.05).Conclusion Spiral CT combined with X-ray abdominal plain film in the diagnosis of intestinal obstruction can improve the diagnostic effect,has a high clinical value.
作者
张国阳
ZHANG Guo-yang(Department of Radiology,Xiamen Hospital,Beijing University of Traditional Chinese Medicine,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2019年第35期193-195,共3页
China & Foreign Medical Treatment
关键词
螺旋CT
X线腹部平片
肠梗阻
检出率
诊断正确率
Spiral CT
X-ray abdominal plain film
Intestinal obstruction
Detection rate
Diagnostic accuracy
