CAJ | 학술논문

目的：探讨消化道穿孔的X线、CT检查方法及不同的影像表现。方法选取来我院进行诊治的消化道穿孔患者96例，其中男60例，女26例，患者的年龄为22~68岁，患者平均年龄为（46.2±12.4）岁。96例患者均先采取X线检查进行临床诊断，然后再进行CT检查进行临床诊断。观察记录患者采取X线检查的影像学表现、采取CT检查的影像学表现，并且对比分析两种诊断方式的临床诊断符合率。结果 CT检查诊断与手术结果相符合的患者有89例，诊断准确率为92.7%，CT检查诊断与手术结果相符合的患者有68例，诊断准确率为70.8%。术前X线检查的诊断符合率显著高于X线检查，比较差异具有统计学意义（χ2=4.092，P<0.05）。结论临床建议，对于消化道穿孔的诊断可采取多种检查手段综合利用，优先考虑CT扫描的方式进行诊断，以此来提高消化道穿孔的检出率和临床诊断准确率。
목적：탐토소화도천공적X선、CT검사방법급불동적영상표현。방법선취래아원진행진치적소화도천공환자96례，기중남60례，녀26례，환자적년령위22~68세，환자평균년령위（46.2±12.4）세。96례환자균선채취X선검사진행림상진단，연후재진행CT검사진행림상진단。관찰기록환자채취X선검사적영상학표현、채취CT검사적영상학표현，병차대비분석량충진단방식적림상진단부합솔。결과 CT검사진단여수술결과상부합적환자유89례，진단준학솔위92.7%，CT검사진단여수술결과상부합적환자유68례，진단준학솔위70.8%。술전X선검사적진단부합솔현저고우X선검사，비교차이구유통계학의의（χ2=4.092，P<0.05）。결론림상건의，대우소화도천공적진단가채취다충검사수단종합이용，우선고필CT소묘적방식진행진단，이차래제고소화도천공적검출솔화림상진단준학솔。
Objective To study the X-ray, CT examination of gastrointestinal perforation and different image performance. Methods 96 patients came to our hospital for diagnosis and treatment of gastrointestinal perforation, including 60 male cases, 26 female cas-es, the age of the patients was 22~68 years old, the average age of the patients was (46.2+12.4) years old. All the 96 patients take X-ray examination of clinical diagnosis, then the CT examination for clinical diagnosis. Observe and record the patients were taken X-ray imaging, CT imaging performance, and compared the clinical diagnosis of two kinds of diagnosis coincidence rate. Results Before treatment, operation, diagnosis and operation results X-ray with 89 cases, the accurate diagnostic rate was 92.7%, CT scan in the diagnosis and operation results in patients with 68 cases, the accurate diagnostic rate was 70.8%. Preoperative diagnosis of CT diagnostic accordance rate was significantly higher than that of X-ray examination, with significant difference (χ2=4.092, P<0.05). Conclusion Clinical recommendations for diagnosis of digestive tract perforation, may adopt the comprehensive utilization of vari-ous examination methods, preferred CT scanning method for diagnosis, in order to improve the accuracy of clinical diagnosis and the detection rate of digestive tract perforation.