结肠肿瘤性肠梗阻中应用腹部CT诊断的临床价值

Clinical value of abdominal CT in the diagnosis of obstruction of colon carcinoma

目的分析结肠肿瘤性肠梗阻应用腹部CT诊断的临床价值。方法本组58例结肠肿瘤性肠梗阻患者在术前均行腹部X线检查和腹部CT检查,回顾性分析诊断结果。结果腹部CT检查时,肿瘤性肠梗阻诊断准确率为100.0%、梗阻位置符合率为96.6%、肠绞窄检出符合率为82.8%,均明显高于腹部X线的79.3%、50.0%、31.0%(P<0.05);且腹部CT检查时患者舒适度评分明显高于X线检查时(P<0.05)。结论腹部CT扫描对结肠肿瘤性肠梗阻的诊断准确,可明确梗阻发生位置,发现肠绞窄,且不会造成过多不适。

Objective To analyze the clinical value of abdominal CT in the diagnosis of obstruction ofcolon carcinoma.Methods The abdominal X-ray examination and abdominal CT examination were performedin58patients with obstruction of colon carcinoma before operation.The diagnosis results were analyzed retrospectively.Results About abdominal CT examination,the diagnostic accuracy rate was100%;The coincidencerate of the site of obstruction is96.6%;The coincidence rate of detection of intestinal strangulation was82.8%;which were higher than those of abdominal X-ray examination(79.3%,50.0%,31.0%)(P<0.05).The comfort scoreof abdominal CT examination was significantly higher than that of abdominal X-ray examination(P<0.05).ConclusionAbdominal CT scan is more accurate in the diagnosis of obstruction of colon carcinoma,help to clear theobstruction position,found intestinal strangulation and will not cause too much discomfort.