腹部X线、超声、CT检查对肠梗阻诊断的临床分析

Clinical Analysis of Abdominal X-ray, Ultrasound and CT Examination in Diagnosis of Intestinal Obstruction

目的探讨腹部X线、超声、CT检查对肠梗阻诊断价值。方法选取2011年4月~2015年4月我院收治的肠梗阻患者的临床资料,对比腹部X线片、B超以及64层螺旋CT对肠梗阻的临床诊断价值。结果 64层螺旋CT在梗阻的诊断、部位、肠绞窄以及梗阻原因方面优于B超和腹部X线。而B超与腹部X线片进行对比,在梗阻原因、部位以及肠较窄等方面优于腹部X线。结论诊断肠梗阻,应常规行B超检查,对于粪石、肿瘤、结石导致等肠梗阻可采用腹部X线联合超声检查,必要时再行CT检查。

Objective To investigate the clinical value of abdominal X-ray, ultrasound and CT examination in diagnosis of intestinal obstruction. Methods Patients with intestinal obstruction were selected in our hospital from April 2011 to April 2015, the abdominal X-ray film, B ultrasound and 64 slice spiral CT in the diagnosis of intestinal obstruction were compared. Results 64 slice spiral CT in the diagnosis of obstruction, strangulation, location and cause of obstruction was significantly higher than that of ultrasound and abdominal x-ray, and ultrasound was superior to abdominal X-ray in the cause of obstruction, the location of the site and the narrow of the colon. Conclusion The clinical diagnosis of intestinal obstruction patients should be routinely performed ultrasound examination for fecal stones, tumors, stones cause intestinal obstruction and strangulated intestinal obstruction in patients with abdominal X-ray combined with ultrasound examination, then do CT check when necessary.