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目的:对比腹部X线平片与多层螺旋CT在肠梗阻诊断中的价值。方法:选取2015年01月至2016年10月我院收治的肠梗阻患者112例,按临床检查方式的不同分为X线组与CT组,每组各56例。X线组患者实施腹部X线平片检查,CT组患者进行多层螺旋CT扫描,比价两组患者的临床诊断准确率,包括是否存在肠梗阻、肠梗阻原因、肠梗阻部位以及是否存在绞窄性肠梗阻。结果:CT组患者在肠梗阻、肠梗阻原因、肠梗阻部位及绞窄性肠梗阻诊断方面显著的优于X线组,差异差异有统计学意义(P<0.05)。结论:多层螺旋CT的临床准确率要高于腹部X线平片,在确定梗阻原因及部位方面有着显著的优势,在肠梗阻的临床诊断中有着较大的价值。
Objective: To compare the value of abdominal plain radiography and multi-slice spiral CT in the diagnosis of intestinal obstruction. Methods: A total of 112 patients with intestinal obstruction admitted from January 2015 to October 2016 in our hospital were divided into X-ray group and CT group according to the different clinical examination methods, 56 cases in each group. X-ray group of patients underwent abdominal X-ray examination, CT group of patients with multi-slice spiral CT scan, the ratio of two groups of patients with clinical diagnosis accuracy, including the presence of intestinal obstruction, intestinal obstruction, intestinal obstruction and the existence of strangulation Intestinal obstruction. Results: Patients in CT group were significantly better than X-ray group in the diagnosis of intestinal obstruction, intestinal obstruction, intestinal obstruction and strangulating intestinal obstruction, the difference was statistically significant (P <0.05). Conclusion: The clinical accuracy of multi - slice spiral CT is higher than that of plain X - ray. It has significant advantages in determining the cause and location of obstruction, and has great value in the clinical diagnosis of intestinal obstruction.