多层螺旋CT在急腹症肠梗阻的诊断价值观察.docVIP

精品论文 参考文献 多层螺旋CT在急腹症肠梗阻的诊断价值观察 重庆市红十字会医院（江北区人民医院）放射科，重庆 400020；2.新疆医科大学第六附属医院放射科，新疆 乌鲁木齐 830002） 通讯作者 陈翼，男，1974.9.12--，工作单位：重庆市红十字会医院（江北区人民医院）放射科，研究方向：中枢神经系统、腹部、骨病的CT、MRI影像诊 【摘要】目的 分析探讨多层螺旋CT在急腹症肠梗阻中的诊断价值，为临床治疗急腹症肠梗阻提供参考依据。方法 选择我院收治的经手术病理确诊或临床保守治疗证实的急腹症肠梗阻患者60例作为研究对象，收治时间在2014年12月到2015年12月，这60例患者均采取腹部X线平片检查和多层螺旋CT检查，以此作为CT组和X线组，诊断结束后，对比分析两组的检出符合率。结果 X线组的检出符合率为83.33%，CT组的检出符合率为98.33%（P＜0.05），两组的差异具有统计学意义；多层螺旋CT诊断结果表明，60例急腹症肠梗阻患者中，多层螺旋CT诊断结果表明，60例急腹症肠梗阻患者中，共有2例结肠直癌患者、27例粘连性肠梗阻患者、26例麻痹性肠梗阻患者、3例肠系膜囊肿性肠梗阻患者，1例腹股沟疝合并肠梗阻患者及1例乙状结肠扭转肠梗阻患者，此结果与病理检查结果基本一致（P＞0.05）。结论 多层螺旋CT在急腹症肠梗阻诊断中具有显著的诊断价值，其临床确诊率较高，且能有效辨别疾病分型，为患者接下来的临床治疗提供更加准确全面的参考依据，故认为该诊断方法值得在临床实践中应用推广。 关键词：多层螺旋CT；急腹症肠梗阻；诊断；价值 【中图分类号】R445【文献标识码】A【文章编号】1001-5213(2016)09-0436-02 Value of multi-slice spiral CT in the diagnosis of acute intestinal obstruction were observed [Abstract] Objective To analyze to investigate the diagnostic value of multi-slice spiral CT in acute intestinal obstruction, and provide the reference for the clinical treatment of acute intestinal obstruction. Methods in our hospital after the pathological diagnosis of acute intestinal obstruction patients 60 cases as the object of study, and were in December 2014 to 2015 December, 60 cases of the patients were taken abdominal X-ray plain film and multi-slice spiral CT examination, in order to as CT and X-ray groups, after the diagnosis, comparative analysis detection of two groups of coincidence rate. Results the X-ray group coincidence detection rate was 83.33%, detection of CT group coincidence rate was 98.33% (P lt; 0.05), the differences between the two groups has statistically significant; multi-slice spiral CT in the diagnosis of the results showed that, in 60 cases of acute intestinal obstruction patients, multi-slice spiral CT in the diagnosis of results show that, in 60 cases of acute intestinal obstruction patients, a total of 2 cases of colonic straight cancer patients, 27 cases of adhesive intestinal obstruction patients, 26 cases of pa