腹部X射线联合CT扫描在急性肠梗阻临床诊断中应用分析

Application of Abdominal X-ray Combined with CT Scan in Clinical Diagnosis of Acute Intestinal Obstruction

目的:探讨腹部X射线联合CT扫描在急性肠梗阻诊断中的应用价值。方法:选取本院2017年5月~2018年4月收治的72例急性肠梗阻患者作为研究对象,所有患者均行腹部X射线检查及CT检查。对比腹部X射线、螺旋CT单独诊断及联合诊断对急性肠梗阻的诊断准确率及类型诊断准确率。结果:腹部X射线与螺旋CT联合诊断急性肠梗阻的准确率较腹部X射线及CT单独诊断高,差异有统计学意义(P<0.05);腹部X射线与螺旋CT联合诊断梗阻部位、梗阻原因及梗阻类型符合率均较腹部X射线及CT单独诊断高,差异有统计学意义(P<0.05)。结论:腹部X射线与CT联合诊断急性肠梗的准确率较高,可早期对肠梗阻患者的梗阻部位、梗阻原因及梗阻类型作出诊断,为临床治疗方案的制定提供重要依据。

Objective: To explore the value of abdominal X-ray combined with CT scan in the diagnosis of acute intestinal obstruction. Methods: Seventy-two patients with acute intestinal obstruction admitted to our hospital from May 2017 to April 2018 were enrolled. All patients underwent abdominal X-ray and CT examination. The accuracy and type of diagnosis accuracy of acute intestinal obstruction were compared with abdominal X-ray and spiral CT alone and combined diagnosis. Results: The accuracy of abdominal X-ray and spiral CT in the diagnosis of acute intestinal obstruction was higher than that in abdominal X-ray and CT. The difference was statistically significant(P<0.05). The diagnosis of obstruction and obstruction by abdominal X-ray and spiral CT The coincidence rate of obstruction type was higher than that of abdominal X-ray and CT alone, and the difference was statistically significant(P<0.05). Conclusion: The accuracy of abdominal X-ray and CT in the diagnosis of acute intestinal infarction is high. It can be used to diagnose the obstruction site, obstruction cause and obstruction type of intestinal obstruction in early stage, which provides an important basis for the development of clinical treatment plan.