文章摘要
王 丽,袁玉山,彭 彬,张少华,薛 涛,谢宗玉.多层螺旋CT检查与腹部X线平片对急性肠梗阻的诊断价值比较研究[J].,2019,19(3):540-543
多层螺旋CT检查与腹部X线平片对急性肠梗阻的诊断价值比较研究
Comparative Study on Multi-slice Spiral CT and Abdominal X-ray Plain Film in Diagnosis of Acute Intestinal Obstruction
投稿时间:2018-07-20  修订日期:2018-08-16
DOI:10.13241/j.cnki.pmb.2019.03.033
中文关键词: 多层螺旋CT  腹部X线平片  急性肠梗阻  诊断价值  比较
英文关键词: Multi-slice spiral CT  Abdominal X-ray plain film  Acute intestinal obstruction  Diagnostic value  Comparison
基金项目:安徽省卫生厅科研项目(B20133641)
作者单位E-mail
王 丽 蚌埠医学院附属阜阳医院影像中心 安徽 阜阳 236000 kfaegb@163.com 
袁玉山 蚌埠医学院附属阜阳医院影像中心 安徽 阜阳 236000  
彭 彬 蚌埠医学院附属阜阳医院影像中心 安徽 阜阳 236000  
张少华 蚌埠医学院附属阜阳医院影像中心 安徽 阜阳 236000  
薛 涛 阜阳市第五人民医院放射科 安徽 阜阳 236000  
谢宗玉 蚌埠医学院第一附属医院放射科 安徽 蚌埠 233070  
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中文摘要:
      摘要 目的:研究比较多层螺旋CT(MSCT)检查与腹部X线平片对急性肠梗阻(AIO)的诊断价值。方法:选择2016年1月到2018年4月间在蚌埠医学院附属阜阳医院接受手术治疗的200例AIO患者作为研究对象,对所有患者先常规予以腹部X线平片诊断,12h后再通过MSCT为患者实施诊断,对比两种方法的诊断结果、诊断体验效果以及漏诊率和误诊率。结果:MSCT的肠梗阻检出率为94.50%,明显较腹部X线平片的69.00%更高(P<0.05)。MSCT所诊断的肠梗阻中,梗阻类型为绞窄型及梗阻病因为肠肿瘤者均占100.00%,较腹部X线平片的36.21%和54.26%明显更高(P<0.05)。MSCT的诊断舒适度评分、图像清晰度评分较腹部X线平片明显更高,而操作复杂度评分较腹部X线平片明显更低(P<0.05)。MSCT的漏诊率、误诊率分别为4.00%、1.50%,较腹部X线平片的22.00%、9.00%明显降低(P<0.05)。结论:对于AIO患者,MSCT较腹部X线平片具有更高的诊断价值,诊断体验效果更好,漏诊率和误诊率偏低。
英文摘要:
      ABSTRACT Objective: To compare the diagnostic value of multi-slice spiral CT (MSCT) and abdominal X-ray plain film radiography in the diagnosis of acute intestinal obstruction (AIO). Methods: A total of 200 patients with AIO, who underwent surgical treatment in the Affiliated Fuyang Hospital of Bengbu Medical College from January 2016 to April 2018, were selected as subjects.All the patients were diagnosed by abdominal X-ray plain film, and again diagnosed by MSCT after twelve hours. The diagnosis results,experience of diagnosis, missed diagnosis rate and misdiagnosis rate of the two methods were compared. Results: The detection rate of intestinal obstruction(94.50%) by MSCT was significantly higher than that(69.00%) by abdominal X-ray plain film (P<0.05). In the intestinal obstruction diagnosed by MSCT, the type of strangulation obstruction and obstruction due to intestinal tumor both accounted for 100.00%, which was significantly higher than that(36.21%, 54.26%) diagnosed by abdominal X-ray plain film (P<0.05). The diagnostic comfort scores and image definition scores of diagnosed by MSCT were significantly higher than those of diagnosed by abdominal X-ray plain film, while the operation complexity scores of diagnosis by MSCT were lower than those of diagnosed by abdominal X-ray plain film (P<0.05). The missed diagnosis rate(4.00%), misdiagnosis rate(1.50%) of MSCT were significantly lower than those(22.00%, 9.00%) of abdominal X-ray plain film (P<0.05). Conclusion: The diagnostic value of MSCT in the diagnosis of AIO is higher than that of abdominal X-ray plain film, with better diagnostic experience and lower misdiagnosis rate and missed diagnosis rate.
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