超声内镜与多层螺旋CT诊断抗凝抗板致上消化道出血的临床价值

The Clinical Value of Ultrasound Endoscopy and Multi-Slice Spiral CT in Diagnosis of Upper Gastrointestinal Bleeding Caused by Anticoagulation and Antiplate

目的:探讨超声内镜与多层螺旋CT在抗凝抗板致上消化道出血的诊断中的临床应用价值。方法:选取2019年1月~2020年1月本院收治的50例抗凝抗板致上消化道出血患者作为研究对象,患者均采用超声内镜与多层螺旋CT进行检查,以病理检查结果作为金标准,对比两种诊断方法的准确性。结果:通过多层螺旋CT对患者出血部位的检查准确率为88.0%,出血原因的准确率为88.0%,超声内镜对患者出血部位的检查准确率为72.0%,出血原因的准确率为72.0%,组间差异明显(P<0.05)。结论:通过多层螺旋CT进行检查准确率高于超声内镜,能有效提升临床判断的准确率,从而更好地制定临床治疗方案,提升治疗效果。

Objective:To analyze the clinical value of ultrasound endoscopy and multi-slice spiral CT in the diagnosis of upper gastrointestinal bleeding caused by anticoagulation and antiplate.Methods:50 patients with upper gastrointestinal hemorrhage caused by anticoagulation and antiplate therapy in our hospital were selected as the subjects of this study.The patients were examined by ultrasound endoscopy and multi-slice spiral CT.The pathological examination results were used as the gold standard.The accuracy of the diagnostic method.Results:Multi-slice spiral CT showed 88.0%accuracy for the bleeding site,88.0%accuracy for the cause of bleeding,endoscopic ultrasonography for 72.0%accuracy for the bleeding site,and 72.0%accuracy for the cause of bleeding%,the difference between the groups is obvious(P<0.05).Conclusion:The accuracy rate of multi-slice spiral CT examination is higher than that of ultrasound endoscopy,so as to effectively improve the accuracy of clinical judgment,so as to better formulate clinical treatment programs and improve the treatment effect.