基于急性肠梗阻患者的临床X线拍片诊断探究

Film Based on the Diagnosis of Acute Intestinal Obstruction Explore the Clinical X-ray

目的:对基于急性肠梗阻患者的临床X线拍片诊断效果进行分析探讨,为今后的临床诊断工作提供可靠的参考依据。方法:抽取在2013年1月-2014年12月在本院就诊的急性肠梗阻患者45例作为本次的研究对象,所有患者均进行临床X线拍片诊断,并对其X线片诊断结果进行统计,并进行回顾性分析。结果:本组45例患者经X线片检查均得到准确诊断,诊断准确率为100%;45例患者中有29例诊断是机械性肠梗阻,占比为64.4%,X线片表现出肠腔内存在积气,其内可观察到异物、肿瘤、肠襻粘连肥厚阴影;13例患者诊断为动力性肠梗阻,X线片表现为空肠、回肠以及结肠的肠腔发生显著扩张,在肠腔内能够观察到大小不一的液平面,呈现为阶梯样排列,肠壁明显增厚,经分析可能为肠壁水肿所导致。所有患者经手术治疗后均痊愈出院,效果良好。结论:X线片在急性肠梗阻诊断中的临床价值显著,诊断准确性较高,为目前临床急性肠梗阻诊断的首选方法,临床价值较高,值得关注并推广。

Objective： To analyze the clinical effect based on X-ray film diagnosis of acute imestinal obstruction patients and provide a reliable reference for future clinical diagnosis. Method： From January 2015 to December 2014, 45 patients with acute intestinal obstruction in our hospital were selected as the objects, all the patients underwent clinical diagnostic X-ray film, and the X-ray diagnosis statistics were analyzed retrospectively. Result： 45 patients were confirmed by X-ray examination to getan accurate diagnosis, the diagnostic accuracy was 100%. In 45 patients, 29 were diagnosed mechanical obstruction, accounting for 64.4%, X-ray showed that intestine memory product gas,which cart be observed within the foreign body, tumor, intestinal loop adhesions hypertrophy shadow. The remaining 13 pattients were diagnosed as dynamic obstruction, X-ray showed that jejunum, ileum and colon intestine of a significant expansion in the intestine can be observed liquid surface sizes, presented as ladder-like arrangement, thickened bowel wall, the analysis may be caused by swelling of the intestinal wall. All the patients after surgery were discharged to good effect. Conclusion： The clinical value of X-ray in the diagnosis of acute intestinal obstruction is significantly higher diagnostic accuracy, the preferred method for the clinical diagnosis of acute intestinal obstruction, clinical higher value, worthy of attention and promotion.