腹部X线平片和CT对肠梗阻的诊断价值比较

Diagnosis application value comparison of intestinal obstruction by abdominal plain film radiography and CT

目的探讨腹部X线平片和CT对肠梗阻诊断应用价值的比较。方法回顾性分析我院2013年1月~2015年12月期间收治的32例经手术治疗确诊肠梗阻病人,行腹部平片和CT平扫及增强扫描,对两种方法在诊断肠梗阻的准确性进行评估。结果本组32例肠梗阻患者,腹部平片确诊24例诊断准确率81.25%,CT确诊30例诊断准确率93.75%;腹部平片确诊肠梗阻病因17例诊断准确率53.13%,CT确诊28例诊断准确率87.50%;绞窄性肠梗阻5例,腹部平片确诊1例诊断准确率20%,CT确诊4例诊断准确率80%。结论 CT检查在诊断肠梗阻的有无、梗阻的部位、原因与是否为绞窄性梗阻方面具有较高的价值,值得临床推广应用。

Objective To study diagnosis application value comparison of intestinal obstruction by abdominal plain film radiography and CT.Methods We retrospectively reviewed 32 cases of intestinal obstruction after surgical treatment,from January 2013- December 2015 in our hospital,including abdominal plain film and CT scan and enhanced scan,and to evaluate the accuracy of the diagnosis of intestinal obstruction by the two methods.Results In the 32 patients with intestinal obstruction,the accuracy of radiography and CT was 81.25%（24/32） and 93.75%（30/32） in determining the existence; The accuracy of radiography and CT was 53.13%（17/32） and 87.50%（28/32） in determining the causes of intestinal obstruction; The accuracy of radiography and CT was 20%（1/5） and 80%（4/5） in 5 patients was strangulate intestinal obstruction.Conclusion CT scanning has high value of determining the existence,causes,locations of intestinal obstruction,and diagnosis of strangulation obstruction,it was worth clinical promoting.