中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2015年
4期
221-224
,共4页
小肠梗阻%诊断%临床研究
小腸梗阻%診斷%臨床研究
소장경조%진단%림상연구
Small bowel obstruction%Diagnosis%Clinical study
目的 评价CT检查对诊断小肠梗阻病因的临床价值.方法 纳入2010年1月至2013年9月经手术证实为小肠梗阻的237例患者,收集所有患者的临床资料.比较腹部彩色超声检查和腹部CT检查在明确梗阻部位、梗阻病因和绞窄性梗阻判断中的阳性发现.计数资料的比较采用卡方检验.结果 237例小肠梗阻患者中,同时具备腹部彩色超声检查和腹部CT检查资料的患者有121例.经手术证实,腹部CT在明确梗阻部位、梗阻病因,以及绞窄性梗阻判断上的准确率分别为75.2％(91/121)、66.1％(80/121)、87.2％(41/47),分别高于腹部彩色超声的44.6％(54/121)、30.6％(37/121)、42.6％(20/47),差异均有统计学意义(x2=23.555、30.595、20.593,P均＜0.01).结论 腹部CT检查诊断小肠梗阻的部位、病因及绞窄的准确率高于腹部彩色超声检查,尤其在明确梗阻病因上具有明显的优势.
目的 評價CT檢查對診斷小腸梗阻病因的臨床價值.方法 納入2010年1月至2013年9月經手術證實為小腸梗阻的237例患者,收集所有患者的臨床資料.比較腹部綵色超聲檢查和腹部CT檢查在明確梗阻部位、梗阻病因和絞窄性梗阻判斷中的暘性髮現.計數資料的比較採用卡方檢驗.結果 237例小腸梗阻患者中,同時具備腹部綵色超聲檢查和腹部CT檢查資料的患者有121例.經手術證實,腹部CT在明確梗阻部位、梗阻病因,以及絞窄性梗阻判斷上的準確率分彆為75.2％(91/121)、66.1％(80/121)、87.2％(41/47),分彆高于腹部綵色超聲的44.6％(54/121)、30.6％(37/121)、42.6％(20/47),差異均有統計學意義(x2=23.555、30.595、20.593,P均＜0.01).結論 腹部CT檢查診斷小腸梗阻的部位、病因及絞窄的準確率高于腹部綵色超聲檢查,尤其在明確梗阻病因上具有明顯的優勢.
목적 평개CT검사대진단소장경조병인적림상개치.방법 납입2010년1월지2013년9월경수술증실위소장경조적237례환자,수집소유환자적림상자료.비교복부채색초성검사화복부CT검사재명학경조부위、경조병인화교착성경조판단중적양성발현.계수자료적비교채용잡방검험.결과 237례소장경조환자중,동시구비복부채색초성검사화복부CT검사자료적환자유121례.경수술증실,복부CT재명학경조부위、경조병인,이급교착성경조판단상적준학솔분별위75.2％(91/121)、66.1％(80/121)、87.2％(41/47),분별고우복부채색초성적44.6％(54/121)、30.6％(37/121)、42.6％(20/47),차이균유통계학의의(x2=23.555、30.595、20.593,P균＜0.01).결론 복부CT검사진단소장경조적부위、병인급교착적준학솔고우복부채색초성검사,우기재명학경조병인상구유명현적우세.
Objective To evaluate the clinical value of computed tomography (CT) examination in the etiologic diagnosis of small bowel obstruction.Methods From January 2010 to September 2013,a total of 237 patients with small bowel obstruction confirmed by operation were enrolled.The clinical data of all patients were collected.The diagnostic value of color Doppler ultrasound and abdominal CT examination were compared in estimating site of obstruction,etiology of obstruction and strangulation obstruction.Chi square test was performed for count data comparison.Results Among 237 patients with small bowel obstruction,there were 121 patients with data of both color Doppler ultrasound and abdominal CT examination.After operation,it was comfirmed that the accurate diagnosis rates of abdominal CT scan in the site of obstruction,the etiology of obstruction and strangulation obstruction were 75.2 ％ (91/121),66.1％ (80/121) and 87.2％ (41/47),respectively,and which were higher than those of abdominal color ultrasound (44.6％,54/121; 30.6％,37/121 and 42.6％,20/47).The differences were statistically significant (x2 =23.555,30.595 and 20.593,all P＜0.01).Conclusion The accurate diagnosis rates of abdominal CT scan in estimating the site of obstruction,the etiology of obstruction and strangulation obstruction were higher than those of color Doppler ultrasound,especially with obvious advantage in judging the etiology of obstruction.
