肠梗阻诊断中多层螺旋CT和X线的应用价值对比

Comparison of application value of multi-slice spiral CT and X-ray in diagnosis of intestinal obstruction

目的:对肠梗阻诊断中多层螺旋C T和X线的应用价值进行探讨.方法:选择收治肠梗阻患者128例,所有患者均于2018年1月至2018年12月在我院接受诊疗,为所有患者进行多层螺旋C T、X线平片检查,统计并对比不同检查方法的临床效果、诊断准确性.结果:多层螺旋C T诊断准确性96.9%、病因确诊率100.0%、梗阻类型确诊率100.0%,均显著高于X线平片的67.8%、46.7%、57.9%(P<0.05).多层螺旋C T诊断舒适性96.9%、图像清晰度92.2%,均显著高于X线平片的71.9%、50.0%,操作复杂性21.9%,显著低于X线平片的68.8%(P<0.05).结论:应用多层螺旋CT诊断肠梗阻价值较高,其能够对梗阻类型和病因进行准确分辨,进而为开展进一步治疗提供依据.

Objective To explore the application value of multi-slice spiral CT and X-ray in the diagnosis of intestinal obstruction.Methods A total of 128 patients with intestinal obstruction were selected,all of whom were admitted to our hospital for diagnosis and treatment from January 2018 to December 2018.All patients were examined by multi-slice spiral CT and X-ray plain film,and the clinical effects and diagnostic accuracy of different examination methods were compared.Results The diagnostic accuracy of MSCT was 96.9%,the etiological diagnosis rate was 100.0%,and the diagnosis rate of obstruction type was 100.0%,all significantly higher than that of X-ray plain film 67.8%,46.7%,57.9%(P<0.05).The diagnostic comfort and image sharpness of MSCT were 96.9%and 92.2%respectively,which were significantly higher than that of X-ray radiographs 71.9%and 50.0%,and the operational complexity was 21.9%,significantly lower than that of X-ray radiographs 68.8%(P<0.05).Conclusion Multi-slice spiral CT is of high value in the diagnosis of intestinal obstruction.It can accurately distinguish the type and cause of intestinal obstruction,thus providing a basis for further treatment.