16层螺旋CT在肠梗阻诊断中的临床应用

Clinical Application of 16 Slice Spiral CT in The Diagnosis of Intestinal Obstruction

目的:探讨多层螺旋CT(MSCT)对肠梗阻的诊断价值。方法:对34例肠梗阻患者的X线平片和MSCT表现进行分析。结果:X线平片和MSCT显示肠梗阻的准确率分别为85.29%和100%,病因诊断正确率分别为0.03和91.18%,梗阻部位判断准确率分别为61.76%和82.35%,对梗阻段肠壁是否绞窄判断准确率分别为0.03%及0%。结论:对肠梗阻的诊断MSCT明显优于X线平片,其对肠梗阻部位。

Objective： To explored the value of multi - slice spiral CT （MSCT） in the diagnosis of intestinal obstruc- tion. Method ： X - ray and MSCT findings of 34 patients with intestinal obstntction were analyzed. Result ： The accuracy of X - ray plain film and MSCT in intestinal obstruction were 85.29% and 100% , respectively. Accuracy of etiological diagnosis were respectively 0. 03 and 91.18%. The accuracy rates of obstruction site were respectively 61.76% and 82. 35%. The Strangulation rates of obstruction section were 0. 03% and 0%. Conclusion： MSCT diagnosis of intestinal obstruction is supe- rior to X - ray plain film, it has important clinical value on intestinal obstruction, cause of obstruction, and diseased bowel strangulation or not.