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目的 :探讨在肠梗阻病因诊断中各项辅助检查的临床价值及意义。方法 :对近几年来我院诊治84例肠梗阻病人的术前检查资料进行回顾性分析。结果 :传统的肠梗阻术前诊断方法立位腹部平片加有关肠道造影或消化道内窥镜检查对肠管本身病变、肠内异物阻塞等引起的机械性肠梗阻的病因诊断有一定价值 ,其准确率为 6 0 .7% ,。肠系膜上动脉 (A)造影检查对肠系膜血管供血不足引起肠梗阻诊断价值较高 ,电子计算机体层摄影 (CT)平扫加增强检查 ,对传统诊断方法不能确诊病因及不能耐受肠道造影或内窥镜检病人有很高诊断价值 ,其准确率较高。结论 :肠梗阻病人术前病因诊断中 ,传统诊断方法不可缺少 ,而传统方法不能明确诊断病因时 ,可选择肠系膜上A造影检查或CT平扫加增强检查 ,从而快速诊断病因。
Objective: To explore the clinical value and significance of various auxiliary examinations in the diagnosis of intestinal obstruction. Methods: The data of 84 cases of intestinal obstruction diagnosed and treated in our hospital in recent years were analyzed retrospectively. Results: The traditional method of preoperative diagnosis of intestinal obstruction, abdominal plain film plus related intestinal angiography or gastrointestinal endoscopy on intestinal disease itself, intestinal obstruction caused by mechanical etiology have some value in the diagnosis, the The accuracy rate was 60.7%. Superior mesenteric artery (A) angiography of mesenteric vascular insufficiency caused by the diagnosis of intestinal obstruction high value, computerized tomography (CT) scan and enhanced examination of the traditional diagnostic methods can not be diagnosed etiology and can not tolerate intestinal angiography or Endoscopy patients have a high diagnostic value, the higher the accuracy rate. Conclusion: The traditional diagnosis method is indispensable in the diagnosis of preoperative etiology of patients with intestinal obstruction. When the traditional method can not diagnose the cause of etiology, the superior mesenteric A-scan or CT scan and contrast-enhanced examination can be used to diagnose the etiology.