摘要
目的:研究消化道破裂穿孔中使用CT、超声、X射线等影像学诊断手段的临床价值。方法:回顾性分析2013年4月-2016年4月我院接治的腹部手术患者120例,所有患者在手术前均通过了CT、B超、X射线检查,从而根据手术检查腹部穿孔检查和影像学诊断结果进行分析,来研究CT、B超、X射线在消化道破裂穿孔术前的诊断价值。结果:在消化道破裂穿孔的诊断中,CT诊断在阳性符合率(93.9%)、阴性符合率(81.8%)、总符合率(91.7%)、灵敏度(93.9%)、特异度(81.8%)、准确率(75.7%)等临床指标上优势最为明显,B超次之,X射线临床诊断效果最不理想。结论:CT和B超检测能降低X射线在消化道破裂穿孔诊断的误差率,同时能准确反映患者的穿孔区域、游离气体和积液等病灶特点,从而为消化道破裂穿孔临床诊断提供可靠准确的诊断依据。
Purpose： Objective： To study the clinical value of CT, ultrasound, X - ray and other imaging diagnostic methods in perforation of digestive tract. Methods： A retrospective analysis of 120 cases of abdominal surgery in our hospital from April 2013 to April 2016. All patients underwent CT, B uhrasonography and X-ray examination before operation. All patients underwent abdominal perforation examination and Imaging diagnosis results to study the CT, B ultrasound, X-ray in the diagnosis of gastrointestinal rupture perforation before the diagnosis. Results： In the diagnosis of perforation of the digestive tract, the diagnostic accuracy of CT was 93.9%, 81.8%, 91.7%, 93.9% and 81.8%, respectively. The positive rate of coincidence （75.7%）, the most obvious clinical advantages, B-times, X-ray clinical diagnosis of the most unsatisfactory. Conclusion： CT and B-mode ultrasonography can reduce the error rate of X-ray in the diagnosis of perforation of digestive tract rupture, and accurately reflect the features of the perforation area, free gas and effusion, so as to provide reliable and accurate diagnosis of gastrointestinal rupture perforation Of the diagnostic basis.
出处
《现代医用影像学》
2017年第1期75-78,共4页
Modern Medical Imageology
基金
2014年东莞市科技一般项目(项目编号:2014105101207)
关键词
消化道破裂穿孔
CT
B超
X射线
Gastrointestinal rupture perforation
CT B super
X-ray
