世界复合医学2024,Vol.10Issue(4) :165-167,178.DOI:10.11966/j.issn.2095-994X.2024.10.04.41

多层螺旋CT检查诊断肠梗阻的应用及准确度评价

Application and Accuracy Evaluation of Multi-slice Spiral CT in the Diagnosis of Intestinal Ob-struction

徐晓东
世界复合医学2024,Vol.10Issue(4) :165-167,178.DOI:10.11966/j.issn.2095-994X.2024.10.04.41

多层螺旋CT检查诊断肠梗阻的应用及准确度评价

Application and Accuracy Evaluation of Multi-slice Spiral CT in the Diagnosis of Intestinal Ob-struction

徐晓东1
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作者信息

  • 1. 新泰市人民医院医学影像科,山东 新泰 271200
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摘要

目的 研究在肠梗阻的临床诊断中应用多层螺旋CT检查的价值.方法 选取2022年1月—2023年12月新泰市人民医院收治的917例疑似肠梗阻患者为研究对象,所有受试者入院后均接受多层螺旋CT扫描.以临床表现、体格检查和影像学检查等综合诊断为金标准,分析多层螺旋CT的诊断符合率与诊断效能.结果 在疑似肠梗阻患者中,综合诊断确诊915例肠梗阻患者,多层螺旋CT诊断的准确度、灵敏度、特异度依次为99.89%(916/917)、100.00%(915/915)、50.00%(1/2),kappa值为0.666.CT对不同类型肠梗阻的诊断符合率为99.89%(914/915).结论 多层螺旋CT检查对诊断肠梗阻具有较高的准确度、灵敏度.

Abstract

Objective To study the value of using multi-slice spiral CT in the clinical diagnosis of intesti-nal obstruction.Methods A total of 917 patients with suspected intestinal obstruction admitted to Xintai People's Hospital from January 2022 to December 2023 were selected as the study subjects.All subjects un-derwent multi-slice spiral CT scan after admission.The diagnostic coincidence rate and diagnostic efficiency of multi-slice spiral CT were analyzed with the comprehensive diagnosis of clinical manifestations,physical ex-amination and imaging examination as the gold standard.Results Among the patients with suspected intestinal obstruction,915 patients with intestinal obstruction were diagnosed by comprehensive diagnosis.The accuracy,sensitivity and specificity of multi-slice spiral CT diagnosis were 99.89%(916/917),100.00%(915/915)and 50.00%(1/2),respectively,and the kappa value was 0.666.The diagnostic coincidence rate of multi-slice spiral CT for different types of intestinal obstruction was 99.89%(914/915).Conclusion The application of multi-slice spiral CT examination has high accuracy and sensitivity in diagnosing intestinal obstruction.

关键词

肠梗阻/多层螺旋CT检查/诊断效能

Key words

Intestinal obstruction/Multi-slice spiral CT examination/Diagnostic efficacy

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出版年

2024
世界复合医学

世界复合医学

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