螺旋CT用于急性肠梗阻诊断中的价值分析

Value Analysis of Spiral CT in the Diagnosis of Acute Intestinal Obstruction

目的:探讨分析急性肠梗阻采用螺旋CT诊断的临床价值。方法:选取88例急性肠梗阻患者,均为2014年2月-2015年1月在笔者所在医院经临床诊断并接受治疗的急性肠梗阻患者,按照随机数字表法为分组依据将患者进行分组,给予腹部B超诊断的患者设为对照组,给予螺旋CT诊断的患者设为试验组,对两组患者肠梗阻的临床定位、定性和诊断程度的准确率进行比较。结果:试验组诊断单纯性肠梗阻的准确率(47.73%)、狭窄性肠梗阻的准确率(50.00%),显著高于对照组诊断单纯性肠梗阻的准确率(29.55%)、狭窄性肠梗阻的准确率(31.82%),差异均有统计学意义(P<0.05);试验组定位诊断低位肠梗阻准确率为50.00%、高位肠梗阻准确率为45.45%,与对照组定位诊断低位肠梗阻准确率为34.09%、高位肠梗阻准确率为29.55%相比,差异均有统计学意义(P<0.05);试验组定性诊断机械性肠梗阻的准确率为52.27%和动力性肠梗阻的准确率为52.27%,对照组定性诊断机械性肠梗阻的准确率为36.36%和动力性肠梗阻的准确率为31.82%,两组相比差异均有统计学意义(P<0.05)。结论:螺旋CT在临床上用于诊断急性肠梗阻具有突出的应用价值,可以更加准确地对肠梗阻进行定位、定性及发病程度进行诊断,值得临床进一步推广使用。

【Objective】 To investigate the clinical value of spiral CT in the diagnosis of acute intestinal obstruction.Method：88 patients with acute intestinal obstruction from February 2014 to January 2015 in our hospital diagnosed by clinic and accept treatment in patients with acute intestinal obstruction were selected,according to random number table method for grouping according to the patients were grouped,giving abdominal B ultrasound diagnosis of patients as the control group,giving spiral CT in the diagnosis of the patients as the experimental group,intestinal obstruction clinical orientation,qualitative analysis and diagnosis of the degree of accuracy of two groups were compared.Result：In the experimental group,the diagnostic accuracy of simple intestinal obstruction（47.73%）,the accurate rate of stenosis of intestinal obstruction（50.00%）,were significantly higher than the control group simple intestinal obstruction diagnosis accuracy rate（29.55%）,the accurate rate of stenosis of intestinal obstruction（31.82%）,there were statistical significance（P〈0.05）.The experimental group diagnosis of intestinal obstruction the accuracy rate was 50.00%,high intestinal obstruction the accuracy rate was 45.45% and the control group low intestinal obstruction diagnosis accuracy rate was 34.09%,the accuracy rate was 29.55% in high intestinal obstruction,there were statistical significance（P〈0.05）.The accuracy rate of diagnosis of intestinal obstruction of the experimental group was 52.27%,accuracy and dynamic intestinal obstruction was 52.27%,the control group qualitative diagnosis rate of machinery intestinal obstruction was 36.36%,and the accuracy rate of intestinal obstruction was 31.82%,there were statistical significance（P〈0.05）.Conclusion：Spiral CT in clinic for diagnosis of acute intestinal obstruction with prominent application value,can be more accurately on the intestinal obstruction of location,nature and extent of the disease diagnosis,it is worthy of clinical use.