CAJ | 학술논문

目的比较多层螺旋CT( MSCT)与X线平片诊断肠梗阻的临床价值.方法分析83例肠梗阻患者CT与腹部X线平片检查资料,对两种方法的诊断情况及临床评价(图像质量、操作难度、患者舒适度)进行比较.结果与X线平片诊断比较,MSCT在肠梗阻、梗阻部位和梗阻原因的确定方面均有非常显著的统计学意义(P＜0.01)；在手术确定的37例绞窄患者中,X线平片仅发现5例,而MSCT全部发现,两者的检出率在统计学上有极显著的差异(P＜0.01).在图像质量、操作难度、患者舒适度等方面,MSCT也都显著优于X线平片(P＜ 0.01).结论在肠梗阻的诊断中,MSCT较X线平片临床价值更高.
목적 비교다층라선CT( MSCT)여X선평편진단장경조적림상개치.방법 분석83례장경조환자CT여복부X선평편검사자료,대량충방법적진단정황급림상평개(도상질량、조작난도、환자서괄도)진행비교.결과 여X선평편진단비교,MSCT재장경조、경조부위화경조원인적학정방면균유비상현저적통계학의의(P＜0.01)；재수술학정적37례교착환자중,X선평편부발현5례,이MSCT전부발현,량자적검출솔재통계학상유겁현저적차이(P＜0.01).재도상질량、조작난도、환자서괄도등방면,MSCT야도현저우우X선평편(P＜ 0.01).결론 재장경조적진단중,MSCT교X선평편림상개치경고.
Objective To compare the clinical value of multislice spiral CT ( MSCT ) with that of plain film radiography in the diagnosis of intestinal obstruction.Methods The data of abdominal CT scans and plain film radiography for 83 patients with intestinal obstruction were analyzed.The diagnostic value and clinical value ( image quality,difficulty of operation,and comfort level to patients ) were compared.Results There were sigificant differences between MSCT and plain film radiography in the diagnosis of intestinal obstruction and the determination of obstruction sites and causes of obstruction ( P＜ 0.01 ).Of 37 patients with strangulation confirmed by surgery,only 5 were found by plain film radiography but all were found by MSCT.There was a significant statistical difference in the detection rate between the two approaches ( P＜ 0.01 ).MSCT was also superior to plain film radiography in image quality,difficulty of operation,and comfort level to patients ( P ＜ 0.01 ).Conclusions Multislice spiral CT has a higher clinical value than plain film radiography in the diagnosis of intestinal obstruction.