CTX线片及超声在肠梗阻诊断中应用价值分析.docVIP

CTX线片及超声在肠梗阻诊断中应用价值分析 　　【摘要】 目的：对比评估CT、X线片及超声在肠梗阻诊断中的应用价值。方法：收集笔者所在医院门诊部在2015年1月-2016年6月就诊疑似肠梗阻患者50例作为研究对象，对患者临床资料进行回顾分析。以手术病理检查结果为金标准，对比CT、X线片及超声对肠梗阻病变的诊断率，梗阻部位、梗阻原因及肠绞窄诊断符合率差异。结果：肠梗阻诊断率方面，CT与超声检查结果差异无统计学意义（P0.05），均显著高于X线片检查结果，差异有统计学意义（P0.05）；梗阻部位、梗阻原因、肠绞窄诊断方面，CT符合率均显著高于X线片及超声，差异有统计学意义（P0.05）。结论：CT诊断肠梗阻的应用价值最为确切，其次为超声及X线片。为提高临床对肠梗阻的诊断准确性，应优先选用CT检查方法，可为临床诊治提供可靠依据。 　　【关键词】 肠梗阻； CT； X线片； 超声； 诊断 　　doi：10.14033/j.cnki.cfmr.2017.5.026 文献标识码 B 文章编号 1674-6805（2017）05-0049-02 　　The Diagnosis Value of CT，X-ray and Ultrasound on Intestinal Obstruction/SONG Xi-gen.//Chinese and Foreign Medical Research，2017，15（5）：49-50 　　【Abstract】 Objective：To compare the diagnosis value of CT，X-ray and ultrasound on intestinal obstruction.Method：In our hospital，50 cases of outpatients from January 2015 to June 2016 with suspected bowel obstruction were retrospectively analyzed.With surgical biopsy as the gold standard for the diagnosis，the result of CT，X-ray and ultrasound on diagnosis rate，obstruction position，obstruction reasons，as well as intestinal strangulation were compared.Result：The diagnosis rate of bowel obstruction aspect，CT and ultrasound had no significant difference（P0.05），those were significantly higher than the X-ray examination results（P0.05）；the obstruction position，obstruction cause，intestinal strangulation aspect，CT coincidence rate were significantly higher than the X-ray and ultrasound coincidence rate（P0.05）.Conclusion：CT diagnosis of intestinal obstruction has the most exact value，followed by ultrasound and X-ray.To improve the accuracy of clinical diagnosis of intestinal obstruction，CT examination method should be preferred to provide a reliable basis for clinical diagnosis and treatment. 　　【Key words】 Intestinal obstruction； CT； X-ray； Ultrasound； Diagnosis 　　First-author’s address：The Center Hospital of Suining City，Suining 629000，China 　　肠梗阻是临床常见外科腹部疾病，有物理性肠梗阻与机能性肠梗阻之分。本病患者临床典型症状以阵发性或持续剧烈腹部疼痛为主，部分危重症患者还可能伴随恶心呕吐感、腹部胀痛、停止排便排气等。既往资料表明，肠梗阻具有病情发展速度快、治疗时机短等特点，若