肠梗阻患者使用螺旋CT、超声和X线辅助确诊和治疗的价值比较

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目的:观察比较肠梗阻患者使用螺旋CT、超声和腹部X线诊断病情的结果。方法:我院在2015年1月至2015年12月期间共有72例患者被确诊为肠梗阻,分别给予螺旋CT、超声和腹部X线检查,观察比较三组患者的检查的符合率以及漏诊、误诊率。结果:C组患者肠梗阻检出率最低,漏诊和误诊率最高,B组居中,A组患者肠梗阻检查符合率最高,漏诊和误诊率最低,三组检查符合率和漏诊、误诊率差异明显,具有统计学意义。结论:在肠梗阻临床检查中超声和腹部X线与螺旋CT相比,螺旋CT优势更加明显,但是也存在一定的漏诊率和误诊率,因此建议在肠梗阻检查中联合应用螺旋CT、超声技术,以达到提高检查准确率、降低漏诊率和误诊率目的。 OBJECTIVE: To observe and compare the results of using spiral CT, ultrasound and abdominal X-ray to diagnose the patients with intestinal obstruction. Methods: A total of 72 patients were diagnosed as intestinal obstruction in our hospital from January 2015 to December 2015. Spiral CT, ultrasonography and abdominal X-ray were performed. The coincidence rate of the three groups of patients and the missed diagnosis, Misdiagnosis rate. Results: The detection rate of intestinal obstruction was the lowest, the misdiagnosis and misdiagnosis rate were the highest in group C, and the group B was middle. The coincidence rate of intestinal obstruction in group A was the highest, and the rate of misdiagnosis and missed diagnosis was the lowest in group C. The misdiagnosis rates were significantly different among the three groups. ,has statistical significane. Conclusions: Compared with spiral CT, the superiority of spiral CT is more obvious in the clinical examination of intestinal obstruction, but there are also some misdiagnosis rate and misdiagnosis rate. So it is suggested that spiral CT and ultrasonic technique , In order to achieve the purpose of improving the accuracy of inspection, reducing the rate of missed diagnosis and misdiagnosis.
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