64-slice spiral CT,B ultrasound,abdominal X-ray diagnosis of intestinal obstruction: comparative study

Objective:To compare spiral CT,B ultrasound,abdominal X-ray diagnosis of the clinical value of intestinal obstruction.Methods:October 2009 ~ October 2010 confirmed by surgery in our hospital 218 patients were bowel obstruction study,of which 135 cases by multi-slice spiral CT examination;B ultrasonic examination 167 cases;abdominal X-ray 196 cases.Comparison of three methods of preoperative diagnostic accuracy.Results:The multi-slice spiral CT,B ultrasound,abdominal X-ray diagnostic accuracy of small bowel obstruction were 94.1%,86.8%,72.4%;on the part of the diagnostic accuracy of small bowel obstruction were 80.7%,63.4% and 53.5 %;of obstruction because the diagnostic accuracy was 82.9%,59.2%,34.1%;of strangulation the diagnostic accuracy of 76.7%,58.1% and 27.9%;multislice spiral CT of bowel obstruction,site of obstruction,and obstruction.Diagnosis and causes of B-,X-ray film with a significant difference(P0.01);BUS compared with the X-ray also has a significant difference(P 0.01).Conclusion:Spiral CT diagnosis of intestinal obstruction with high sensitivity is better than BU and abdominal X-ray examination,and clinical treatment plan in time of great help.