国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
9期
1266-1268
,共3页
多层螺旋CT%X线平片%肠梗阻
多層螺鏇CT%X線平片%腸梗阻
다층라선CT%X선평편%장경조
Multi-slice spiral CT%Plain film radiography%Intestinal obstruction
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.
目的 比較多層螺鏇CT( MSCT)與X線平片診斷腸梗阻的臨床價值.方法 分析83例腸梗阻患者CT與腹部X線平片檢查資料,對兩種方法的診斷情況及臨床評價(圖像質量、操作難度、患者舒適度)進行比較.結果 與X線平片診斷比較,MSCT在腸梗阻、梗阻部位和梗阻原因的確定方麵均有非常顯著的統計學意義(P<0.01);在手術確定的37例絞窄患者中,X線平片僅髮現5例,而MSCT全部髮現,兩者的檢齣率在統計學上有極顯著的差異(P<0.01).在圖像質量、操作難度、患者舒適度等方麵,MSCT也都顯著優于X線平片(P< 0.01).結論 在腸梗阻的診斷中,MSCT較X線平片臨床價值更高.
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.