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多层螺旋CT小肠造影在小肠梗阻诊断中的临床价值
Clinical Value of Multi-slice Helical CT in the Diagnosis of Small Bowel Obstruction
【摘要】 目的探讨多层螺旋CT小肠造影在小肠梗阻诊断中的临床应用价值。方法选取我院收治的104例小肠梗阻患者作为研究对象。所有患者均经手术、组织病理学或临床治疗确诊;且所有患者均行多层螺旋CT(MSCT)与多层螺旋CT小肠造影(MSCTE)检查,对比其检查结果。结果 MSCT与MSCTE对梗阻部位判定的准确率分别为88.5%(92/104)、80.8%(84/104),组间比较,差异无统计学意义(P>0.05);但MSCTE在判定小肠梗阻病因方面的准确率与MSCT比较,差异具有统计学意义(P<0.05)。结论在小肠充分扩张的基础上给予患者多层螺旋CT小肠造影检查效果显著,有利于提高小肠梗阻病因诊断的准确率。
【Abstract】 Objective To investigate the clinical application value of multislice CT enteroclysis in diagnosis of small bowel obstruction. Methods 104 cases of intestinal obstruction in our hospital were studied. All patients were confirmed by surgery, pathology or clinical diagnosis and treatment; all patients underwent multi-slice spiral CT(MSCT) with multislice spiral CT enterography(MSCTE) examination, comparing the test results. Results The accuracy rate of MSCT and MSCTE on the site of obstruction determination were 88.5%(92/104), 80.8%(84/104), the difference between groups was no statistically significant(P > 0.05). However, the accuracy of MSCTE in judging the etiology of small bowel obstruction was significantly different from that of MSCT(P < 0.05). Conclusion On the basis of the full expansion of the small intestine, patients with multi-slice spiral CT small bowel radiography, the effect is significant, it is conducive to improve the accuracy of the diagnosis of small bowel obstruction.
【Key words】 multi-slice spiral CT; multislice helical CT small bowel radiography; small bowel obstruction;
- 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2017年21期
- 【分类号】R574.2;R816.5
- 【被引频次】7
- 【下载频次】26