螺旋CT在肠梗阻病因诊断中的应用分析

Application of Spival CT in Diagnosis of Intestine Obstruction

目的探讨螺旋CT在肠梗阻病因诊断中的应用价值。方法选择我院2005年1月—2009年1月肠梗阻患者142例,根据患者具体临床情况,行螺旋CT平扫和增强扫描,根据CT表现,分析患者肠梗阻的病因,并与手术和病理结果比较,分析CT对肠梗阻病因诊断的符合率。结果①引起肠梗阻的病因有粘连、肿瘤、腹内外疝、肠套叠、炎症、腔内病变、肠扭转、外伤等,其中粘连、肿瘤、腹内外疝居前三位;②对粘连、肿瘤、腹内外疝的诊断符合率分别为86.3%、94.7%、86.6%,所有CT病因诊断中,总的符合率为87.3%。结论应用CT对肠梗阻进行病因诊断,具有一定的临床应用价值,可以及时明确病因,及时给予相应临床治疗。

Objective To explore the Value of spiral CT in the diagnosis of intestinal obstruction in the application. Methods Choose my hospital in January 2005 -January 2009 total 142 cases of bowel obstruction, according to the specific clinical conditions in patients, spiral CT with unenhanced and enhanced scans. According to CT performance, analyze the cause of intestinal obstruction in patients. With surgical and pathological findings, analyze CT diagnosis of bowel obstruction in line with the rate. Results （1）the cause of intestinal obstruction are adhesions, tumor, intra - abdom- inal external hernia, intussusception, inflammation, cavity lesions, volvulus, trauma, etc. in which adhesion, tumor, intra - abdominal hernia ranks the top three ;（2）the adhesion, tumor, intra - abdominal hernia diagnosis rate were 86. 3% , 94. 7% , 86. 6% , in all CT diagnosis, the total coincidence rate was 87.3%. Conclusion Application of CT for etiological diagnosis of intestinal obstruction, has a certain clinical application value, which can be timely and clear etiology, and timely to give the corresponding treatment.