肠梗阻的16层螺旋CT诊断价值:附86例报道

Diagnostic Value of 16 Slices Spiral CT in Intestinal Obstruction: 86 Cases Report

目的评价分析CT诊断肠梗阻患者的临床价值。方法回顾性分析我院86例肠梗阻患者采用CT诊断的临床资料,并且以手术病理检查结果为标准对比分析CT诊断的符合率。结果本组86例肠梗阻患者经过手术病理检查显示先天性中肠旋转不良者1例,外伤者1例,肠腔内异物者3例,肠套叠者1例,肠扭转者3例,炎症患者4例,腹内外疝者6例,肿瘤32例,粘连35例。经过CT检查诊断符合者79例,诊断符合率达到91.9%,其中先天性中肠旋转不良、外伤以及肠套叠等诊断符合率均高达100%。CT检查诊断结果和手术病理检查结果并没有统计学意义(P>0.05)。结论 CT检查在肠梗阻诊断中具有较高的应用价值,可以准确判断肠梗阻的具体部位,快速明确肠梗阻病因,可为临床治疗肠梗阻提供科学、合理的依据。

Objective To evaluate the clinical value of 16 slices sCT in the diagnosis of intestinal obstruction. Methods The clinical data of 86 cases of intestinal obstruction in our hospital were analyzed retrospectively, and the coincidence rate of CT was analyzed with the results of surgical pathology. Results In this group, 86 patients with intestinal obstruction after surgery and pathological examination showed 1 case of congenital intestinal malrotation, trauma in 1 case, 3 cases of foreign body in the intestine, 1 cases of intussusception, volvulus in 3 cases, 4 cases of patients with inflammatory, internal and external hernia 6 cases, tumors in 32 cases, adhesion of 35 cases. After sCT examination diagnosis with 79 cases, the diagnostic accordance rate reached 91.9%, of which the diagnosis of congenital intestinal malrotation, trauma, and intussusception with rates as high as 100%. The results of CT examination and surgical pathology were not statistically significant （P〉0.05）. Conclusion CT examination in the diagnosis of !ntestinal obstruction with high application value, can accurately determine the exact location of the intestinal obstruction, quickly identify the cause of intestinal obstruction, can provide scientific and reasonable basis for the clinical treatment of intestinal obstruction.