探讨消化道穿孔的X线、CT检查方法及不同的影像表现

To study the X-ray, CT examination of gastrointestinal perforation and different image performance

目的探讨消化道穿孔的X线、CT检查方法及不同的影像表现。方法选取来我院进行诊治的消化道穿孔患者96例,其中男60例,女26例,患者的年龄为22～68岁,患者平均年龄为(46.2±12.4)岁。96例患者均先采取X线检查进行临床诊断,然后再进行CT检查进行临床诊断。观察记录患者采取X线检查的影像学表现、采取CT检查的影像学表现,并且对比分析两种诊断方式的临床诊断符合率。结果 CT检查诊断与手术结果相符合的患者有89例,诊断准确率为92.7%,CT检查诊断与手术结果相符合的患者有68例,诊断准确率为70.8%。术前X线检查的诊断符合率显著高于X线检查,比较差异具有统计学意义(χ2=4.092,P<0.05)。结论临床建议,对于消化道穿孔的诊断可采取多种检查手段综合利用,优先考虑CT扫描的方式进行诊断,以此来提高消化道穿孔的检出率和临床诊断准确率。

Objective To study the X-ray, CT examination of gastrointestinal perforation and different image performance. Methods 96 patients came to our hospital for diagnosis and treatment of gastrointestinal perforation, including 60 male cases, 26 female cas-es, the age of the patients was 22-68 years old, the average age of the patients was （46.2＋12.4） years old. All the 96 patients take X-ray examination of clinical diagnosis, then the CT examination for clinical diagnosis. Observe and record the patients were taken X-ray imaging, CT imaging performance, and compared the clinical diagnosis of two kinds of diagnosis coincidence rate. Results Before treatment, operation, diagnosis and operation results X-ray with 89 cases, the accurate diagnostic rate was 92.7%, CT scan in the diagnosis and operation results in patients with 68 cases, the accurate diagnostic rate was 70.8%. Preoperative diagnosis of CT diagnostic accordance rate was significantly higher than that of X-ray examination, with significant difference （χ2=4.092, P〈0.05）. Conclusion Clinical recommendations for diagnosis of digestive tract perforation, may adopt the comprehensive utilization of vari-ous examination methods, preferred CT scanning method for diagnosis, in order to improve the accuracy of clinical diagnosis and the detection rate of digestive tract perforation.