[1]毛小平.螺旋CT与腹部X线平片对急性肠梗阻的早期诊断效能比较[J].医学信息,2020,33(01):167-168.[doi:10.3969/j.issn.1006-1959.2020.01.055]
 MAO Xiao-ping.Comparison of Early Diagnosis of Acute Intestinal Obstruction by Spiral CT and Plain X-ray of Abdomen[J].Medical Information,2020,33(01):167-168.[doi:10.3969/j.issn.1006-1959.2020.01.055]
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螺旋CT与腹部X线平片对急性肠梗阻的早期诊断效能比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年01期
页码:
167-168
栏目:
诊疗技术
出版日期:
2020-01-01

文章信息/Info

Title:
Comparison of Early Diagnosis of Acute Intestinal Obstruction by Spiral CT and Plain X-ray of Abdomen
文章编号:
1006-1959(2020)01-0167-02
作者:
毛小平
(红安县人民医院放射科,湖北 红安 438400)
Author(s):
MAO Xiao-ping
(Department of Radiology,Hong’an County People’s Hospital,Hong’an 438400,Hubei,China)
关键词:
螺旋CT腹部X线平片急性肠梗阻诊断
Keywords:
Spiral CTPlain abdominal X-ray filmAcute intestinal obstructionDiagnosis
分类号:
R574.2
DOI:
10.3969/j.issn.1006-1959.2020.01.055
文献标志码:
A
摘要:
目的 比较螺旋CT与腹部X线平片对急性肠梗阻早期诊断效能。方法 回顾分析2017年6月~2019年6月在我院诊治的104例急性肠梗阻患者临床资料,患者均行腹部X线平片及螺旋CT检查,比较两种检查方法敏感度、特异度以及诊断准确性。 结果 螺旋CT诊断急性肠梗阻敏感度86.53%、特异度80.00%,高于腹部X线平片的67.30%、65.71%(P<0.05);螺旋CT诊断小肠梗阻、结肠梗阻、机械性肠梗阻、绞榨性肠梗阻的准确率均高于腹部X线平片(P<0.05)。结论 螺旋CT对急性肠梗阻的早期诊断准确率高,并且可以更加准确定位肠梗阻位置、原因,为临床的有效治疗提供可靠的参考依据,具有重要临床应用的价值。
Abstract:
Objective To compare the early diagnostic efficacy of spiral CT and plain abdominal X-ray films in the diagnosis of acute intestinal obstruction. Methods The clinical data of 104 patients with acute intestinal obstruction diagnosed and treated in our hospital from June 2017 to June 2019 were reviewed. The results of X-ray and spiral CT in the abdomen were performed to compare the sensitivity, specificity and diagnostic accuracy of the two methods.Results The sensitivity of spiral CT in the diagnosis of acute intestinal obstruction was 86.53% and the specificity was 80.00%, which were higher than those of plain X-ray films of 67.30% and 65.71%,the difference was statistically significant (P<0.05).The accuracy of spiral CT in the diagnosis of small intestinal obstruction, colon obstruction, mechanical intestinal obstruction and strangled intestinal obstruction was significantly higher than that of abdominal X-ray plain film,the difference was statistically significant(P<0.05). Conclusion Spiral CT has a high accuracy rate for the early diagnosis of acute intestinal obstruction, and can more accurately locate the location and cause of intestinal obstruction. It can provide a reliable reference for effective clinical treatment and has important clinical application value.

参考文献/References:

[1]姜冰.腹腔镜联合肠镜治疗结直肠癌合并肠梗阻的临床疗效与安全性分析[J].中国现代普通外科进展,2016,19(1):47-49. [2]朱进,袁岱岳.多排螺旋CT对急性肠梗阻诊断的临床价值[J].现代医用影像学,2014,23(3):302-304. [3]贾吉婷.超声在判断肠梗阻病因中的诊断价值[J].山西医药杂志,2014,43(9):1022-1023. [4]王龙.螺旋CT、腹部X线与超声对肠梗阻的诊断价值对比分析[J].河南医学研究,2015,24(9):108-109. [5]褚鸷,王宝爱,坑蓉.多层螺旋CT与腹部X线平片分组临床诊断老年肠梗阻的诊断价值[J].中国CT和MRI杂志,2015,13(6):71-73. [6]周海洋,魏学明,郑爱民,等.CT小肠成像对肠梗阻部位及病因的诊断价值[J].中国CT和MRI杂志,2016,14(9):21-22.

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更新日期/Last Update: 2020-01-01