螺旋CT在肿瘤性肠梗阻诊断中的应用价值

目的探讨螺旋CT用于肿瘤性肠梗阻诊断的应用价值。方法回顾性分析我院2012年10月，2013年6月经手术证实为肿瘤性肠梗阻且术前均行腹部x线平片和CT扫描两种检查的32例患者的临床资料，对两种检查方法的检查结果进行比较分析。结果（1）两种诊断方式在梗阻诊断率、梗阻病因诊断率、梗阻部位诊断率以及绞窄的诊断率上比较有明显差异（P〈0．05）；（2）CT诊断结果与术后病理TNM分期结果比较无显著性差异（P〈0．05）。结论螺旋CT用于诊断肿瘤性肠梗阻效果显著，且能够有效提高梗阻诊断率，明显优于腹部x线平片检查。

The clinical vaule of spiral CT in the diagnosis of neoplastic obstruction

Objective To investigate the application of spiral CT in the diagnosis of neoplastic obstruction. Methods The files of abdominal plain film radiography and CT examination of 32 neoplastic obstruction patients with surgery from October 2012 to June 2013 were retrospectively reviewed,the diagnostic results of twos diagnostic methods were analyzed and compared. Results （1）There were significant differences about accurate diagnosis rates of ileus, accurate diagnosis rates of the ileus cause,accurate diagnosis rates of ileus location,accurate diagnosis rates of strangulated ileus between two diagnostic methods（P 〈 0.05）.（2）There was no significant diference between diagnostic results of spiral CT and pathologic TNM stage（P 〉 0.05）. Conclusion Spiral CT has a good effect on diagnosing neoplastic obstruction,and it can improve the diagnostic accuracy.