多层螺旋CT在急性肠梗阻诊断中的应用价值

Application Value of Multi-slice Spiral CT in Diagnosis of Acute Intestinal Obstruction

目的探讨多层螺旋CT(MSCT)在急性肠梗阻的诊断中的应用价值.方法选取2014年3月-2018年3月医院收治的108例疑似急性肠梗阻患者作为研究对象,所有患者均进行MSCT检查并诊断为肠梗阻,后经过手术或病理结果得到证实.以手术或病理结果作为金标准,考察MSCT对急性肠梗阻部位诊断和病因诊断的准确性,计算MSCT与金标准比较的Kappa值,分析MSCT与金标准的一致性.结果MSCT检查对肠梗阻部位判断的准确率为87.04%(94/108),Kappa值为0.698.MSCT检查对肠梗阻病因判断的准确率为91.67%(99/108),Kappa值为0.887.结论 MSCT诊断肠梗阻准确率较高,能够对病因进行较为准确的判断.

Objective To explore the clinical value of multi-slice spiral CT(MSCT)in the diagnosis of intestinal obstruction. Methods 108 patients with suspected acute intestinal obstruction admitted to the hospital from March 2014 to March 2018 were selected as the subjects of study. All patients were received MSCT examination and were diagnosed as intestinal obstruction, which was confirmed by surgical or pathological results. Surgical or pathological results were set as the gold standard to evaluate the accuracy of MSCT in the diagnosis of acute intestinal obstruction. The Kappa values of MSCT compared with gold standard were calculated and the consistency between MSCT and gold standard was analyzed. Results The accuracy rate of MSCT in judging the location of intestinal obstruction was 87.04%(94/108), and the Kappa value was 0.698.The accuracy of MSCT in the etiology of intestinal obstruction was 91.67%(99/108), and the Kappa value was 0.887. Conclusion MSCT has high accuracy in diagnosing intestinal obstruction, and can accurately judge the cause of intestinal obstruction.