Abstract:
Objective To investigate the value of CT signs in the selection of operative indications in patients with intestinal obstruction.
Methods Retrospective review of 269 cases of clinical diagnosis of intestinal obstruction, including 185 cases of conservative treatment improved, 71 surgical removal of obstruction, 13 people giving up treatment.Causes of intestinal obstruction: 7 cases of appendicitis, 7 cases of hernia, 22 cases of tumor, 19 cases of adhesion, 9 cases of torsion, 7 cases of bezoars, a total of 71 cases, stading CT signs of surgery and non surgery group: complete obstruction, transitional zone, adhesions front and abdominal fat density increased, intestinal feces sign, whirlpool, beak, cable sign, peritoneal effusion.The differences of CT signs between operation group and conservative treatment group were statistically analyzed.
Results Multivariate logistic regression analysis showed that the complete obstruction, transitional zone, belt, fecal intestinal adhesion syndrome, peritoneal effusion 5 signs were statistically significant between operation group and non operation group(P<0.05), to predict the specificity, sensitivity, negative predictive value, positive, OR value was>1.
Conclusion The 5 signs of complete obstruction, transitional zone, anterior adhesion zone, fecal bowel sign and peritoneal fluid have good reference value for the timing of operation for patients with intestinal obstruction.
Key words:
the multi-slice spiral CT,
imaging signs,
intestinal obstruction,
operative indications
Jing Wang, Yongqian Qiang. An Exploration on the Multi-slice Spiral CT Signs of Intestinal Obstruction Indications for Surgery[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2018, 08(03): 102-106.