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1、多层螺旋CT诊断及鉴别诊断小肠疾病的临床价值探讨湖南省株洲市攸县人民医院放射科湖南攸县412300【摘要】目的：探讨分析多层螺旋CT诊断及鉴别诊断小肠疾病的临床价值。方法：选取我院收治的疑为小肠疾病的患者110例为木次研究对象，所有患者均经过胃肠道造影检查以及多层螺旋CT检查，与临床确诊结果进行比较两种检查方法的准确度，灵敏度，特异度。结果：口0例疑小肠疾病患者经过手术病理组织检查、内镜检查等进行确诊后，有78例患者确诊为小肠疾病患者，占70.91%。其中肿瘤性疾病占21.79%,血管性疾病5.13%，炎症性疾病39.73%,肠梗阻30.77%,其他2.56%O多
2、层螺旋CT检查准确率为84.55%,灵敏度为78.21%,特异性为100%；消化道顿餐检查准确率为61.82%,灵敏度为58.97%,特异性为68.75%；多层螺旋CT检测的准确度，灵敏度，特异度都明显高于消化道顿餐，P&t;0.05,具有统计学意义。结论：多层螺旋CT对小肠疾病诊断的准确率、灵敏度、特异性等都较高，对小肠内以及周围情况都可以进行全面的观察，临床辅助医牛进行病情的诊断有重要的意义，值得临床推广。【关键词】多层螺旋CT；诊断；鉴别；小肠疾病ClinicalValueofthemultisliceCTinthediagnosisanddifferent
3、ialdiagnosisofsmallintestinediseasesCHENZhigang,LEIMingjun,DINGZihua,YANGYu,LIUXiaoming(Theradiologydepartment,YouxianPeople’sHospitalofZhuzhouCity,Hunan,412300,China)Abstract：Objective：ToanalyzetheclinicalvalueofmultisliceCTinthediagnosisanddifferentialdiagnosisofsmallintestine
4、ldiseases.Methods：110casesofpatientswithsuspectedsmallboweldiseasewereselectedasthestudyobjects.AIIpatientshadgastrointestinalangiographyexaminationandmultisliceCTexamination.Accordingtotheclinicaldiagnosisresults,theaccuracy,sensitivity,spec讦icdegreesofthetwomethodswerecompared.Resul
5、ts：Amongthe110patientswithsuspectedsmallboweldisease,aftersurgeryhistopathologicexaminationandendoscopicexamination，78patientswerediagnosedwithintestinaldisease,account!ngfor70.91%.Ofthem,tumordiseasesaccountedfor21.79%,vasculardiseasefor5.13%,inflammatorydiseasefor39.73%,intestinalob
6、structionfor30.77%,andothersfor2.56%.AccordingtotheMultisliceCTexaminationresults,therewasanaccuracyof84.55%,sensitivityof78.21%,specificityof100%.Accordingtothegastrointestinalangiographyexaminationresults,therewasanaccuracyof61.82%,sensitivityof58.97%,specificityof68.75%.MultisliceC
7、Tdetectionshowedhigheraccuracy,sensitivity,specificdegreesthangastrointestinalangiographyexamination(P<0.05).Conclusion：MultisliceCTindiagnosisofintestinaldiseaseshadhighaccuracy,sensitivityandspecificity,andacomprehensiveobservationonsurrounclingcircumstancesintheintestine.Soithas
8、animp
