摘要
目的:研究超声诊断肠梗阻的价值。方法:选取2012年7月~2022年6月于本院收治的疑似肠梗阻患者50例,对疑似肠梗阻患者分别进行超声诊断、CT诊断、X射线诊断,以病理组织检查或术后情况作为金标准。结果:CT诊断下单纯机械性肠梗阻、绞窄性肠梗阻、动力性肠梗阻各项肠梗阻类型占比分别为95.00%、100.00%、91.67%,超声诊断分别为90.00%、92.31%、83.33%,X射线诊断分别为80.00%、76.92%、75.00%,对比结果差异显著(P<0.05)。CT诊断下肠肿瘤、肠粘连、肠套叠各项肠梗阻病因占比分别为100.00%、93.33%、80.00%,超声诊断分别为92.00%、86.67%、80.00%,X射线诊断分别为84.00%、73.33%、60.00%,对比结果差异显著(P<0.05)。CT诊断下空肠、回肠、空回肠、结肠各项肠梗阻部位占比分别为100.00%、95.45%、85.71%、100.00%,超声诊断分别为90.00%、90.91%、85.71%、83.33%,X射线诊断分别为80.00%、81.82%、71.43%、66.67%,对比结果差异显著(P<0.05)。CT诊断下肠梗阻患者诊断舒适度、诊断满意度评分分别为(88.24±3.42)分、(96.46±1.28)分,超声诊断分别为(95.41±1.19)分、(95.20±1.54)分,X射线诊断分别为(87.53±3.70)分、(86.15±3.46)分,对比结果差异显著(P<0.05)。CT诊断下肠梗阻患者诊断准确性、诊断灵敏度、诊断特异度分别为90.00%、95.56%、40.00%,超声诊断分别为82.00%、91.11%、20.00%,X射线诊断分别为70.00%、85.37%、0,对比结果差异显著(P<0.05)。结论:超声诊断肠梗阻的诊断效能介于CT诊断和X射线诊断之间,但是其诊断准确性更加接近CT诊断,分析其原因是超声受患者胃肠道气体、肥胖及超声医师操作手法等影响,CT不受上述因素影响,但是超声诊断具有无辐射、检查方便、实时动态、价廉等优点。
Objective:To study the value of ultrasound in the diagnosis of intestinal obstruction.Methods:Selected 50 patients with suspected intestinal obstruction admitted to our hospital from July 2012 to June 2022,and performed ultrasound diagnosis,CT diagnosis and X-ray diagnosis respectively,with pathological tissue examination or postoperative condition as the gold standard.Results:The CT diagnosis of simple mechanical ileus,strangulation ileus and dynamic ileus were 95.00%,100.00%and 91.67%respectively,ultrasound was 90.00%,92.31%and 83.3.3%respectively,and X-ray diagnosis was 80.00%,76.92%and 75.00%respectively,with significant difference(P<0.05).The causes of intestinal tumor,intestinal adhesion and intussusception were 100.00%,93.33%and 80.00%,respectively,ultrasound was 92.00%,86.67%and 80.00%,respectively,and X-ray diagnosis was 84.00%,73.33%and 60.00%,respectively(P<0.05).CT cases of inferior jejunum,ileum,jejunum and colon were 100.00%,95.45%,85.71%and 100.00%,90.00%,90.90%,90.91%,85.71%and 83.33%,respectively.X-ray diagnosis was 80.00%,81.82%,71.43%and 66.67%,respectively,and the comparison results were significantly different(P<0.05).The diagnostic comfort and diagnostic satisfaction scores of patients with CT diagnosis were(88.24±3.42)score,(96.46±1.28)points,(95.41±1.19)points and(95.20±1.54)points,and X-ray diagnosis was(87.53±3.70)points and(86.15±3.46)points,respectively,with a significant difference(P<0.05).The diagnostic accuracy,diagnostic sensitivity,and diagnostic specificity of patients with intestinal obstruction under CT diagnosis were 90.00%,95.56%and 40.00%,ultrasound diagnosis was 82.00%,91.11%and 20.00%,respectively,and X-ray diagnosis was 70.00%,85.37%and 0,respectively,the comparison results were significantly different(P<0.05).Conclusion:Ultrasound diagnosis of intestinal obstruction between CT diagnosis and X-ray diagnosis,but its diagnostic accuracy closer to CT diagnosis,analysis of the reason because the ultrasound gastrointestinal gas,obesity and ultrasound physician operation technique,CT is not affected by the above factors,but ultrasonic diagnosis has no radiation,convenient,real-time dynamic,cheap.
作者
陈衍池
CHEN Yan-chi(Department of Ultrasound,Youxi County General Hospital,Fujian Province,Fujian Sanming 365100)
出处
《中国医疗器械信息》
2023年第14期16-18,176,共4页
China Medical Device Information
关键词
超声诊断
CT诊断
X射线诊断
肠梗阻
肠肿瘤
ultrasound diagnosis
CT diagnosis
X-ray diagnosis
intestinal obstruction
intestinal tumor
