MSCT对单纯慢性便秘患者临床诊疗的评估价值分析

Value of MSCT in the diagnosis and treatment of patients with simple chronic constipation

目的分析多层螺旋CT(MSCT)对单纯慢性便秘患者临床诊疗的评估价值。方法回顾性选取2017年1月至2021年12月衡水市第四人民医院收治的150例单纯慢性便秘患者。所有患者均采用清洁肠管及对症支持治疗,治疗前后分别对患者进行MSCT检查。分析患者治疗前后的MSCT检查图像差异,比较患者治疗前后的Bristol粪便性状评分(BSFS)、便秘患者症状自评问卷(PAC-SYM)、便秘相关残疾量表(CRDS)、视觉模拟评分法(VAS)、胃肠道功能的变化情况,以评估患者经MSCT检查的价值。结果治疗后患者BSFS评分为(3.91±0.72)分,明显高于治疗前[(1.84±0.34)分],PAC-SYM、CRDS和VAS分别为(27.89±2.12)分、(18.43±2.44)分、(1.32±0.28)分,均明显低于治疗前[(36.95±1.83)分、(32.01±3.98)分、(4.84±0.93)分],差异均有统计学意义(P<0.05)。治疗后患者升结肠波幅、升结肠频率、横结肠波幅和横结肠频率为(132.91±8.41)μV、(7.01±1.25)次/min、(137.49±11.62)μV、(6.93±1.31)次/min,均明显高于治疗前[(117.93±10.93)μV、(5.91±1.03)次/min、(108.23±9.84)μV、(5.84±1.02)次/min],差异均有统计学意义(P<0.05)。治疗后患者肠壁形态僵硬、结肠袋消失、巨结肠、肠道移行、肠系膜上静脉略有增粗发生率分别为3.33%、4.67%、0.67%、0.67%、12.67%,均明显低于治疗前(31.33%、43.33%、4.67%、9.33%、42.67%),差异均有统计学意义(P<0.05)。结论对单纯性便秘患者而言,为其实施MSCT检查有利于提高患者的临床诊断,为进一步诊疗以及预后评估提供基础。

Objective To analyze the value of MSCT in the diagnosis and treatment of patients with simple chronic constipation.Methods A total of 150 patients with simple chronic constipation admitted to the Fourth People's Hospital of Hengshui from January 2017 to December 2021 were selected as the research object.All patients were treated with bowel cleaning and symptomatic support,and MSCT scan was performed before and after treatment.The differences of MSCT scan images of patients before and after treatment were analyzed,and the changes of Bristol fecal traits score(BSFS),patient assessment of constipation symptom(PAC-SYM),constipation related disability scale(CRDS),visual analogue scale(VAS)and gastrointestinal function were compared before and after treatment.To evaluate the value of MSCT scanning in patients.Results After treatment,the score of BSFS was(3.91±0.72)points,which was significantly higher than that before treatment[(1.84±0.34)]points,the scores of PAC-SYM,CRDS and VAS were(27.89±2.12)points,(18.43±2.44)points,(1.32±0.28)points,which were significantly lower than those before treatment[(36.95±1.83)points,(32.01±3.98)points,(4.84±0.93)points],the differences were statistically significant(P<0.05).After treatment,the ascending colon amplitude,ascending colon frequency,transverse colon amplitude and transverse colon frequency were(132.91±8.41)μV,(7.01±1.25)times/min,(137.49±11.62)μV,(6.93±1.31)times/min,respectively,which were significantly higher than those before treatment[(117.93±10.93)μV,(5.91±1.03)times/min,(108.23±9.84)μV,(5.84±1.02)times/min],the differences were statistically significant(P<0.05).After treatment,the incidence of intestinal wall stiffness,disappearance of colonic bag,megacolon,intestinal transition and slight thickening of superior mesenteric vein were 3.33%,4.67%,0.67%,0.67%and 12.67%,which were significantly lower than those after treatment,the differences were statistically significant(P<0.05).Conclusion For patients with simple constipation,the implementation of MSCT examination is beneficial to improve the clinical diagnosis of patients,and provides a basis for further diagnosis and treatment and prognosis evaluation.