应用碘油造影诊断小肠梗阻的可行性分析

目的 研究应用碘油造影诊断小肠梗阻的可行性以及手术时机的选择。方法 回顾性研究2004年1月至2008年6月湖南郴州市第一人民医院胃肠外科231例小肠梗阻临床资料，分为碘油组（163例）和泛影葡胺组（68例）。病人经胃管注入造影剂行消化道造影，腹部X线动态观察观察碘油造影剂24h内是否进入结肠与病人最终是否采取手术治疗的一致性，并对此一致性做Kappa分析，同时分别观察两组6、12、24、36h各时间点的显影情况。结果 碘油组：Kappa值为0.946，6h、12h、24h、36h碘油组显影率分别为100%、98.8%、93.9%、80.7%，泛影葡胺组为100%、95.6%、85.2%、34.0%。结论 碘油造影是泛影葡胺外另一种可靠的诊断小肠梗阻的手段，对手术时机选择具有重要的指导意义。

Feasibility of lipiodol enterography appliedd in diagnosis of small bowel obstruction

Feasibility of lipiodol enterography appliedd in diagnosis of small bowel obstruction YANG Wen-bin ,ZHANG Jian-wen,ZHAO Yu-guo,et al.Department of General Surgery ,the First People’s Hospital of Chenzhou ,Sourth China University,Chenzhou 423000,China Corresponding author: ZHANG Jian-wen,E-mail：bin.wenyang@163.com Abstract Objective To study the feasibility of lipiodol enterography applied in the diagnosis, and the timing-choice of operation of the small bowel obstrucion . Methods Clinical data of 231 patients of small bowel obstruction chosed from Department of General Surgery ,First People’s Hospital of Chenzhou in Janury 2004～June 2008 were studied retrospectively, wich were divided into lipiodol group(163 cases)and cardiografin group(68 cases). Contrast agent was injected into the nasogastric tube , then followed abdominal X-dynamic observation .Inversgation was made on the consistency between whether the lipiodol reach colon after 24 hours injection and whether to perform final surgical therapy on patients, Kappa analysis of the consistency was made .Abdominal radiography results of the two groups in 6，12，24，36h were observed. Results The lipiodol group: the Kappa score is 0.946,the masculine gender rat of lipiodol is 100% at 6h, 98.8% at 12h, 93.9%at 24h, 80.7% at 36h.But the rats of cardiografin group are 100%,95.6%,85.2%,and 34.0% .Conclusion The lipiodol enterography is a valuble way of diagnosising small bowel obstruction. It has important-guiding singnificance in the timing-choice of operation.