CAJ | 학술논문

目的：探讨肠道准备与否对MRI诊断肠梗阻的影响。方法对96例肠梗阻进行磁共振成像检查，其中40例检查前进行了充分的肠道准备，余56例未进行任何方式的肠道准备，分析两种方式磁共振成像检查对肠梗阻定位和病因诊断符合率的差异。结果磁共振对于56例无肠道准备方式和40例肠道准备方式的术前定位符合率均为100%。56例无肠道准备磁共振成像方式对肠梗阻的病因诊断符合率为83.9%（47/56），40例肠道准备磁共振成像方式对肠梗阻的病因诊断符合率为85%（34/40），二者间无明显差异（χ2=0.02，P=0.887＞0.05）。结论肠道准备与否对磁共振成像检查结果无明显影响，无肠道准备方式操作简便，更受临床医师和患者的欢迎，可以作为肠梗阻磁共振检查的首选检查方式。
목적：탐토장도준비여부대MRI진단장경조적영향。방법대96례장경조진행자공진성상검사，기중40례검사전진행료충분적장도준비，여56례미진행임하방식적장도준비，분석량충방식자공진성상검사대장경조정위화병인진단부합솔적차이。결과자공진대우56례무장도준비방식화40례장도준비방식적술전정위부합솔균위100%。56례무장도준비자공진성상방식대장경조적병인진단부합솔위83.9%（47/56），40례장도준비자공진성상방식대장경조적병인진단부합솔위85%（34/40），이자간무명현차이（χ2=0.02，P=0.887＞0.05）。결론장도준비여부대자공진성상검사결과무명현영향，무장도준비방식조작간편，경수림상의사화환자적환영，가이작위장경조자공진검사적수선검사방식。
Objective To investigate intestinal preparation or not affect the MRI in the diagnosis of intestinal obstruction.Methods 96 cases of intestinal obstruction, in which 40 cases were carried out adequate bowel preparation before inspection, more than 56 cases of bowel preparation in any form, analyses two ways of MRI cause of intestinal obstruction localization and diagnosis coincidence rate differences.Results 56 patients without intestinal preparation ways and 40 cases of bowel preparation methods of preoperative localization coincidence rate is 100%. 56 patients without intestinal preparation of MRI on intestinal obstruction etiology diagnosis coincidence rate was 83.9%(47/56), 40 cases of MRI for intestinal preparation methods on the causes of intestinal obstruction diagnosis coincidence rate was 85%(34/40), no obvious difference between them(chi-square=0.02,P=0.887>0.05).Conclusion Bowel preparation or not had no significant effect on magnetic resonance imaging results, without a bowel preparation method is simple, the more popular among clinicians and patients, the first choice for the MRI can be used as intestinal obstruction.