螺旋CT和腹部平片检查在肠梗阻诊断中的应用比较

Comparison of Spiral CT and Abdominal Plain Film Application in the Diagnosis of Intestinal Obstruction

为比较螺旋CT和腹部X线平片检查对肠梗阻的诊断价值,对我院收治的50例肠梗阻患者资料进行回顾性分析,患者均行螺旋CT和腹部X线平片检查,将2种影像学检查结果分别与手术结果进行对比,统计诊断吻合率,并进行对比分析.结果显示,螺旋CT对肠梗阻的诊断准确率（94.0%）明显高于腹部X线平片检查（76.0%）,P〈0.05;而且螺旋CT对肠梗阻病因、梗阻部位以及绞窄性肠梗阻的诊断准确率均明显高于腹部X线平片检查,P〈0.05.结果表明,螺旋CT诊断肠梗阻比腹部X线平片检查诊断准确率更高,对肠梗阻病因及部位的诊断准确率亦更高,临床应用价值更高.

In order to compare the diagnostic value of spiral CT and abdominal plain film in intestinal obstruction,the data of 50 patients admitted in author＇＇s hospital and diagnosed with intestinal obstruction were retrospectively analyzed.The patients were all examined by spiral CT and abdominal plain film.Two kinds of imageological examination results were respectively compared with the result of the surgery.The coincidence rate of diagnosis was counted and comparatively analyzed.As results, the accuracy rate of spiral CT for diagnosis of intestinal obstruction （94.0%） was significantly higher than that of abdominal plain film examination （76.0%, P〈0.05）;and the accuracy rate of spiral CT in the diagnosis of intestinal obstruction pathogenesis, obstruction location and strangulation obstruction were significantly higher than that of abdominal plain film examination（P〈0.05）.The results show that the diagnosis of intestinal obstruction by spiral CT was more accurate than that of abdominal plain film, and the diagnostic accuracy rate about the cause and location of intestinal obstruction as well as the clinical application value was also higher.