探讨肠梗阻采用腹部X线平片和CT检查的临床对比效果

Explore the Clinical Effect of Intestinal Obstruction Using Abdominal X-ray Plain Film and CT Examination

目的探讨比对肠梗阻运用腹部X线平片与CT检查的临床效果。方法将2018年3月—2019年12月作为研究时区,择取其中该院接收的76例肠梗阻患者为研究对象。基于双色球随机抽取,均分成立对照及观察两组(每组38例)。对照组予以X线平片检查,观察组则施以CT检查。评估比对两组总检出率,梗阻部位、是否存在肠绞窄、梗阻原因的诊断准确率以及患者舒适度。结果观察组各项检测结果准确率(94.7%、86.8%、89.5%、89.5%)相较于对照组(71.1%、60.5%、63.2%、60.5%)均呈现明显优越性,差异有统计学意义(χ2=3.758、3.393、3.415、3.428,P<0.05);且该组对象检测过程中舒适度平均评分(95.06±1.43)分相较于对照组(84.33±2.57)分也呈现明显优越性,差异有统计学意义(t=19.157,P<0.05)。结论较X线平片检查,在对肠梗阻的诊断中,CT检查具有更好的临床效果,能够更精准的诊断出梗阻部位、梗阻原因以及是否有肠绞窄的存在,且在诊断过程中患者舒适度更高。

Objective To explore the clinical effect of comparing abdominal obstruction with plain X-ray and CT examination.Methods From March 2018 to December 2019 as the study time zone,76 patients with intestinal obstruction received in our hospital were selected as the study object.Based on the random selection of the two-color balls,the control and observation groups of 38 cases in each group.The control group was examined by plain X-ray film,while the observation group was examined by CT.Evaluate the total detection rate of the two groups,the location of the obstruction,the presence of intestinal stenosis,the diagnostic accuracy of the cause of the obstruction,and the patient's comfort.Results The accuracy of each test result in the observation group(94.7%,86.8%,89.5%,89.5%)was significantly superior to the control group(71.1%,60.5%,63.2%,60.5%),the difference was statistically significant(χ2=3.758,3.393,3.415,3.428,P<0.05);and the average comfort score(95.06±1.43)points of the observation group of subjects during the detection process was also significantly superior to the control group(84.33±2.57)points,the difference was statistically significant(t=19.157,P<0.05).Conclusion Compared with plain X-ray examination,CT examination has a better clinical effect in the diagnosis of intestinal obstruction.It can more accurately diagnose the location of the obstruction,the cause of the obstruction,and whether there is intestinal stenosis,besides the patients are more comfortable.