超声、螺旋CT、腹部X线诊断肠梗阻的临床价值

Clinical Value of Ultrasonic and Spiral CT,Abdominal X-ray in the Diagnosis of Intestinal Obstruction

目的：探究超声、螺旋CT、腹部X线诊断肠梗阻的临床价值。方法：选取2013年1月~2014年1月某院收治的147例肠梗阻患者作为研究对象,术前对全部患者分别进行超声、螺旋CT、腹部X线的检查,将其三种影像技术检查结果的对比。结果：超声、螺旋CT在肠梗阻、梗阻部位、肠绞窄、梗阻原因方面明显优于腹部X线,对比存在显著差异,具有统计学意义（P〈0.05）;在肠梗阻、梗阻部位方面、肠绞窄,螺旋CT与超声的对比不存在显著差异,不具有统计学意义（P〉0.05）;螺旋CT梗阻原因方面明显优于超声,对比存在显著差异,具有统计学意义（P〈0.05）。结论：超声与螺旋CT结合对肠梗阻的诊断效果更好,临床价值较高,值得推广应用。

Objective：To explore the clinical value of ultrasound,spiral CT,abdominal X-ray in the diag-nosis of intestinal obstruction.Methods：147 cases with intestinal obstruction admitted to hospital from Janu-ary 2013 to January 2014 were taken as study objects.All patients were received with ultrasound,spiral CT, X-ray of the abdomen preoperative check respectively,and then the results of the three imaging techniques are compared.Results：Ultrasound and spiral CT are superior to abdominal X-ray in the diagnosis of intesti-nal obstruction,obstruction part,intestinal strangulation and obstruction cause.There is a significant differ-ence in comparison,with statistical significance （P〈0.05 ）;in obstruction,obstruction part,intestinal strangulation,spiral CT and ultrasound have no significant difference to the other technique （P〉0.05）;in the cause of obstruction,spiral CT was superior to ultrasound and there was a statistically significant differ-ence（P〈0.05）.Conclusion：The combination of ultrasound and spiral CT is better for the diagnosis of intes-tinal obstruction,with higher clinical value,which is worthy of popularization and application.