首页|两种不同影像学检查方式在急性肠梗阻诊断中的比较分析

两种不同影像学检查方式在急性肠梗阻诊断中的比较分析

扫码查看
目的 探究急性肠梗阻应用腹部X线平片与多层螺旋电子计算机断层扫描(CT)的诊断价值.方法 选取2021年10月—2022年10月本院收治的80例疑似急性肠梗阻患者的临床资料进行回顾性分析,所有的患者均行腹部X线平片、多层螺旋CT检查及病理组织活检,以病理学结果作为金标准.比较腹部X线平片与多层螺旋CT检查对急性肠梗阻的检出结果、符合率及诊断效能;并对其中的典型病例进行分析.结果 80例疑似急性肠梗阻患者中阳性为62例,阴性为18例;经腹部X线平片检查真阳性为29例,真阴性为7例,假阳性11例,假阴性33例;经多层螺旋CT检查真阳性为53例,真阴性为16,假阳性2例,假阴性9例;多层螺旋CT检查的符合率、特异度、灵敏度、准确度、阳性预测值、阴性预测值均高于腹部X线平片,组间比较差异显著有统计学意义(P<0.05).结论 与腹部X线平片检查相比,在急性肠梗阻患者中应用多层螺旋CT检查的符合率、特异度、灵敏度、准确度、阳性预测值、阴性预测值均较高,有利于临床对急性肠梗阻患者进行及时、准确的诊断,并实施有效的针对性治疗及干预,进而改善患者预后.
Comparative Analysis of Two Different Imaging Examination Methods in Diagnosis of Acute Intestinal Obstruction
Objective To explore diagnostic value of abdominal X-ray plain film and multi-slice spiral computed tomography(CT)for acute intestinal obstruction.Methods The paper reviewed and analyzed clinical data of 80 suspected acute intestinal obstruction patients in our hospital from October 2021 to October 2022,treated with underwent abdominal X-ray plain film,multi-slice spiral CT examination and pathological tissue biopsy,with pathological results as gold standard.Detection results,accuracy,and diagnostic effect of abdominal X-ray plain film and multi-slice spiral CT for acute intestinal obstruction were compared,typical cases among them were analyzed.Results Among 80 suspected patients with acute intestinal obstruction,62 were positive and 18 were negative.Abdominal X-ray plain film examination showed,there were 29 cases of true positive,7 cases of true negative,11 cases of false positive,and 33 cases of false negative.Multi-slice spiral CT examination showed,there were 53 cases of true positive,16 cases of true negative,2 cases of false positive,and 9 cases of false negative.Conformity rate,specificity,sensitivity,accuracy,positive predictive value,and negative predictive value with multi slice spiral CT examination was higher than abdominal X-ray plain films,P<0.05(with significant difference between groups).Conclusion Multi-slice spiral CT examination can achieve higher accuracy,specificity,sensitivity,accuracy,positive predictive value,and negative predictive value than abdominal X-ray plain film examination for patients with acute intestinal obstruction,can help timely accurate diagnosis for acute intestinal obstruction patients in clinical practice,and effective targeted treatment and intervention,thereby improve prognosis of patients.

Acute intestinal obstructionAbdominal X-ray plain filmMulti layer spiral electronic computed tomography

邸春雪、王悦琪、张士朋

展开 >

北京中医药大学房山医院 CT室,北京 102400

急性肠梗阻 腹部X线平片 多层螺旋电子计算机断层扫描

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
  • 7