64排螺旋排CT与腹部X射线平片对肠梗阻患者的诊断效能比较研究

Comparative Study on the Diagnostic Efficacy of 64 Slice Spiral CT and Abdominal X-Ray Plain Film in Patients with Intestinal Obstruction

摘要: 目的：通过对比分析肠梗阻患者的64排螺旋CT与腹部X射线平片的诊断效能，探讨两种检查手段在肠梗阻诊断中的准确性、敏感性和特异性。方法：研究的时间段是2023年2月至2025年2月期间，纳入连续收治的65例经临床病理诊断为肠梗阻的患者，均接受64排螺旋CT和腹部X射线平片两种检查。根据影像学特征判断是否存在肠梗阻以及具体梗阻情况，以临床病理诊断为金标准，对比两种检查方法的诊断准确率、敏感性和特异性。结果：64排螺旋CT在肠梗阻诊断中的检测灵敏度、阳性预测值、特异度及检测符合率高于腹部X射线平片(P < 0.05)。结论：相比于传统的腹部X射线平片，64排螺旋CT在肠梗阻诊断中表现出更高的准确性、敏感性和特异性，可作为肠梗阻影像学检查的首选方法。

Abstract: Objective: To compare and analyze the diagnostic efficacy of 64 slice spiral CT and abdominal X-ray plain film in patients with intestinal obstruction, and to explore the accuracy, sensitivity, and specificity of the two diagnostic methods in the diagnosis of intestinal obstruction. Methods: The research period is from February 2023 to February 2025 and included 65 consecutive patients diagnosed with intestinal obstruction through clinical pathology. All patients underwent both 64 slice spiral CT and abdominal X-ray plain film examinations. Based on imaging features, determine the presence and specific condition of intestinal obstruction, and use clinical pathological diagnosis as the gold standard to compare the diagnostic accuracy, sensitivity, and specificity of two examination methods. Results: The sensitivity, positive predictive value, specificity, and detection accuracy of 64 slice spiral CT in the diagnosis of intestinal obstruction were higher than those of abdominal X-ray plain film (P < 0.05). Conclusion: Compared with traditional abdominal X-ray plain films, 64 slice spiral CT shows higher accuracy, sensitivity, and specificity in the diagnosis of intestinal obstruction, and can be used as the preferred method for imaging examination of intestinal obstruction.