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目的:研究肠内对比剂引入后行多层螺旋CT检查在肠梗阻诊断中的应用。方法:选取2015年1月至2016年8月宁波市第七医院接诊的62例肠梗阻患者作为研究对象。给予所有患者口服肠内对比剂后进行多层螺旋CT检查,观察多层螺旋CT检查在肠梗阻病因的符合率。结果:62例患者经病理检查均符合肠梗阻诊断标准,采用多层螺旋CT对62例患者进行检查,符合率为95.16%,其中对肠扭转、肠道肿瘤、肠套叠、腹内外疝、外伤性原因检出率为100.00%,炎症检出率为88.23%,肠粘连检出率为93.93%。结论:肠内对比剂引入后行多层螺旋CT检查能够有效提高正确率,能够准确判断肠梗阻患者的病因,有利于后期的治疗。
Objective: To study the application of intestinal contrast agent in the diagnosis of intestinal obstruction after multi-slice spiral CT examination. Methods: Totally 62 patients with intestinal obstruction admitted to Ningbo Seventh Hospital from January 2015 to August 2016 were selected as the study subjects. All patients received oral enteral contrast agent after multi-slice spiral CT examination to observe the multi-slice spiral CT examination of the cause of intestinal obstruction in line with the rate. Results: Sixty-two patients were diagnosed by pathological examination according to the diagnostic criteria of intestinal obstruction. Sixty-two patients were examined by multi-slice spiral CT with the coincidence rate of 95.16%. Among the 62 patients, the diagnosis of intestinal obstruction, intestinal tumor, intussusception, The detection rate of traumatic causes was 100.00%, the detection rate of inflammation was 88.23%, the detection rate of intestinal adhesion was 93.93%. Conclusion: The introduction of enteral contrast agent after multi-slice spiral CT examination can effectively improve the accuracy, accurately determine the etiology of patients with intestinal obstruction, is conducive to the treatment.