探讨急诊腹部CT对急性肠系膜血管栓塞的诊断价值

Exploring the Diagnostic Value of Emergency Abdominal CT for Acute Mesenteric Vascular Embolization

目的研究急性肠系膜血管栓塞患者实施急诊腹部CT诊断的价值。方法纳入该院(2017年6月—2018年6月)接收的急性肠系膜血管栓塞患者(n=86)作为研究对象,以诊断方法为基准,分为实验组(n=43,实施腹部CT诊断)、对照组(n=43,实施剖腹探查诊断),对86例患者诊断指标(检查时间、医疗费用、出血量)、诊断结果、不良反应发生率评估。结果检查指标:实验组诊断指标优于对照组(P<0.05)。实验组43例患者中检出肠系膜上动脉栓塞14例(32.56%)、肠系膜下动脉栓塞9例(20.93%)、肠系膜上静脉栓塞7例(16.28%)、肠系膜血管栓塞9例(20.93%),故诊断结果对比:实验组诊断结果低于对照组(χ^2=4.195 1,P=0.040 5)。不良反应发生率:实验组不良反应发生率低于对照组(P<0.05)。结论急性肠系膜血管栓塞患者实施急诊腹部CT诊断的价值显著,既可降低诊断不良反应发生率,还可缩短检查时间,值得借鉴。

Objective To study the value of emergency abdominal CT diagnosis in patients with acute mesenteric vascular embolism. Methods Patients with acute mesenteric vascular embolization (n=86) received in our hospital (June 2017 to June 2018) were enrolled in the study group and divided into experimental groups (n=43, abdominal CT diagnosis), control group (n=43, laparotomy diagnosis), 86 patients with diagnostic indicators (test time, medical expenses, bleeding volume), diagnosis results, adverse reaction rate assessment. Results The examination index: the diagnostic index of the experimental group was better than the control group (P<0.05). In the experimental group, 14 cases(32.56%), submucosal artery embolization 9 cases(20.93%), superior mesenteric vein embolization 7 cases (16.28%), and mesenteric vascular embolization 9 cases(20.93%) were detected in 43 patients. Therefore, the comparison of the diagnosis results: the diagnosis result of the experimental group was lower than that of the control group (χ^2=4.195 1, P=0.040 5). The incidence of adverse reactions: the incidence of adverse reactions in the experimental group was lower than that in the control group (P<0.05). Conclusion The value of emergency abdominal CT diagnosis in patients with acute mesenteric vascular embolization is significant, which can reduce the incidence of adverse reactions and shorten the examination time. It is worth learning.