摘要
目的分析多层螺旋CT在诊断小肠梗阻中的准确性。方法选取2019年1月至2020年12月诸城市人民医院收治的70例疑似小肠梗阻患者作为研究对象。所有患者均行腹部X线、多层螺旋CT检查,以手术及临床随访结果作为金标准,比较X线与多层螺旋CT对小肠梗阻总检出率及诊断效能。结果多层螺旋CT对小肠梗阻总检出率高于X线,差异有统计学意义(P<0.05)。多层螺旋CT诊断灵敏度高于X线,差异有统计学意义(P<0.05);多层螺旋CT诊断与X线特异度比较差异无统计学意义;CT与手术及临床随访的一致性高于X线与手术及临床随访的一致性。结论多层螺旋CT检查可提高小肠梗阻检出率,特异度、灵敏度较高,为制订治疗方案提供科学的参考依据,值得临床推广应用。
Objective To analyze the accuracy of multi-slice spiral CT in the diagnosis of small bowel obstruction.Methods 70 patients with sus-pected small bowel obstruction admitted to Zhucheng People's Hospital from January 2019 to December 2020 were selected as the research subjects.Abdominal X-ray and multi-slice spiral CT were performed in all patients.The results of operation and clinical follow-up were used as the gold stan-dard to compare the total detection rate and diagnostic efficacy of X-ray and multi-slice spiral CT in small intestinal obstruction.Results The total de-tection rate of small bowel obstruction by multi-slice spiral CT was higher than that by X-ray,and the difference was statistically significant(P<0.05).The diagnostic sensitivity of multi-slice spiral CT was higher than that of X-ray,and the difference was statistically significant(P<0.05);there was no significant difference between multi-slice spiral CT diagnosis and X-ray specificity;the consistency of multi-slice spiral CT with surgery and clini-cal follow-up was higher than that of X-ray with surgery and clinical follow-up.Conclusion Multi-slice spiral CT examination can improve the de-tection rate of small bowel obstruction,with high specificity and sensitivity,and provide a scientific reference for the formulation of treatment plans,and is worthy of clinical promotion and application.
作者
季建伟
李民霞
JI Jianwei;LI Minxia(Department of Radiology,Zhucheng People's Hospital,Zhucheng,Shandong,262200,China;Department of Medical Record Management,Zhucheng Maternal and Child Health Hospital,Zhucheng,Shandong,262200,China)
出处
《当代医学》
2023年第30期129-131,共3页
Contemporary Medicine
