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目的探讨腹部立位X线平片和多层螺旋CT对肠梗阻的诊断价值。方法对20例既进行腹部X线平片又进行螺旋CT检查,并经手术或临床随访确诊肠梗阻的患者图像进行分析。结果根据肠管扩张、肠腔内气体及气液平面,腹部X线平片准确诊断14例,CT准确诊断20例,多层螺旋CT对肠梗阻的有无、肠梗阻的原因、部位、程度能提供更明确的诊断。结论立位腹部X线平片及CT均为肠梗阻的有效检查方法,腹部立位X线平片对可疑患者进行筛查,然后进行多层螺旋CT扫描进一步明确肠梗阻的有无、肠梗阻的原因、部位、程度,为临床提供更为确切的诊断和治疗依据。
Objective To investigate the diagnostic value of abdominal plain radiograph and multi-slice spiral CT in the diagnosis of intestinal obstruction. Methods Twenty patients with bowel obstruction who underwent both X - ray and spiral CT were analyzed. Results According to the accuracy of diagnosing 14 cases of X-ray, the accurate diagnosis of 20 cases by CT, the presence or absence of intestinal obstruction, the cause, location and degree of intestinal obstruction Provide more definite diagnosis. Conclusions The established abdominal X-ray and CT are the effective methods for the diagnosis of intestinal obstruction. The X-ray plain film of the abdomen is used to screen the suspicious patients. Then multi-slice spiral CT is used to further confirm the existence of intestinal obstruction, intestinal obstruction The reason, location, degree, to provide a more accurate clinical diagnosis and treatment basis.