期刊文献+

腹部增强CT检查在粘连性肠梗阻中的诊断价值分析 预览

Clinical efficacy of enhanced CT for abdominal examination in the diagnosis of adhesive intestinal obstruction
在线阅读 下载PDF
分享 导出
摘要 目的探究腹部增强CT检查在粘连性肠梗阻中的诊断价值。方法 90例粘连性肠梗阻患者行腹部增强CT和X线平片检查,比较不同检查方法的诊断准确率并观察粘连性肠梗阻患者的CT征象。结果腹部X线平片检查诊断粘连性肠梗阻准确率为90%(81/90),增强CT结果诊断准确率为98.89%(89/90),增强CT诊断的准确率高于X线平片,差异具有统计学意义(χ^2=7.843,P<0.05)。扩张/塌陷肠管相连、肠管扩张≥25 mm CT征象在90例粘连性肠梗阻患者中的出现率最高。结论相比腹部X线平片,腹部增强CT诊断粘连性肠梗阻的准确率较高,有助于粘连性肠梗阻的临床早期诊断。 Objective To evaluate the clinical efficacy of enhanced CT for abdominal examination in the diagnosis of adhesive intestinal obstruction. Methods Firstly,90 patients with adhesive intestinal obstruction were subjected to abdominal examination with enhanced CT and X-ray plain film respectively. The rates of accurate diagnosis of the two Methods were compared and the CT signs of the patients with adhesive intestinal obstruction were examined. Results The rate of accurate diagnosis by X-ray film was 90%( 81/90) and that by enhanced CT was 98.89%( 89/90),which was higher than that by X-ray plain film. The difference was statistically significant( χ^2= 7. 843,P < 0. 05). The number of findings by CT of intestinal connection due to expansion or collapse of the tracts and bowel dilatation ≥25 mm was the greatest among 90 patients with adhesive intestinal obstruction. Conclusions Compared with X-ray plain film,enhanced CT for abdominal examination warrants even higher rate of accurate diagnosis of adhesive intestinal obstruction and thus can serve as an efficient technology for early diagnosis of adhesive intestinal obstruction.
作者 纪仁浩 王斌 贺启龙 樊页川 JI Ren-hao;WANG Bin;HE Qi-long;FAN Ye-chuan(Department of Radiology, Changxing Hospital of Traditional Chinese Medicine, Changxing 313100, China)
出处 《健康研究》 CAS 2019年第3期320-322,共3页 Health Research
关键词 增强CT 粘连性肠梗阻 征象 enhanced CT adhesive intestinal obstruction signs
作者简介 纪仁浩(1985-),男,江西广丰人,本科,主治医师。
  • 相关文献

参考文献10

二级参考文献83

  • 1张毅琴,陆卫东,李伟,殷少军.多层螺旋CT对老年人小肠梗阻病因的诊断价值[J].实用老年医学,2013(1):22-25. 被引量:21
  • 2纪建松,章士正.螺旋CT对粘连性肠梗阻的诊断价值[J].中国医学科学院学报,2006,28(1):84-87. 被引量:33
  • 3周彤,伍晓汀,周业江,李月春,范伟,黄雄.腹部X线、超声、CT检查对肠梗阻诊断的临床分析[J].实用临床医药杂志,2006,10(1):53-55. 被引量:20
  • 4王彦华,张晓莹,唐震.粘连性肠梗阻的CT诊断[J].中国临床医学影像杂志,2006,17(10):575-577. 被引量:10
  • 5王道林,俞珍淇,潘洪,等.影像学检查在机械性肠梗阻诊断76例[J]. 菏泽医学专科学校学报,2010,18(22): 313-314. 被引量:4
  • 6FurukawaA, Yamasaki M,Furuichi Keta 1 Helical CT inthe diagnosis of small bowelobstruction. Radio Graphics ,2001, 21(2): 341-355. 被引量:1
  • 7Tuca A, Guell E, Martinez-Losada E, et al. Malignant bowel obstruc- tion in advanced cancer patients: epidemiology, management, and factors influencing spontaneous resolution [J]. Cancer Manag Res, 2012,4(6) : 159-169. 被引量:1
  • 8Lee JW, Jo K, Cho A, et al. Relationship between ~SF-FDG uptake on PET and recurrence patterns after curative surgical resection in patients with advanced gastric cancer [J]. J Nucl Med, 2015, 56 (10) : 1494-1500. 被引量:1
  • 9Caglar M, Yener C, Karabulut E, et al. Value of CT, FDG PET-CT and serum tumor markers in staging recurrent colorectal cancer [J]. Int J Comput Assist Radiol Surg,2015,10(7) :993-1002. 被引量:1
  • 10Pameijer CR, Mahvi DM, Stewart JA, et al. Bowel obstruction in pa- tients with metastatic cancer: does intervention influence outcome? [ J ]. Int J Gastrointest Cancer, 2005,35 (2) : 127-133. 被引量:1

共引文献89

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈