目的：对消化道穿孔在临床诊断中采取不同诊断方法的结果进行比较分析。方法选取于2014年4月～2015年4月我院收治的36例消化道穿孔患者作为观察对象，采取回顾性分析法对所有患者的临床资料进行分析，并对X线检查、超声诊断对消化道穿孔的诊断符合率、漏诊率进行统计与比较分析。结果36例患者行X线检查与手术诊断相符28例，占80.56％，漏诊8例，占22.22％；36例患者行超声诊断与手术诊断相符32例，占88.89％，漏诊4例，占11.11％，两种检查方法有可比性，统计结果相比差异显著，具有统计学意义（P＜0.05）。结论相较于X线检查，采取超声诊断消化道穿孔其诊断符合率更加准确，且漏诊率更低，能够实现全方位、多频段对消化道穿孔临床症状进行探查，具有临床推广价值。%Objective TO explore the results of different diagnostic methods in the clinical diagnosis of digestive tract perforation. Methods 36 patients with digestive tract perforation from April 2014 - April 2015 in our hospital were collected as research object, and took retrospective analysis method to analyze the clinical data of all patients, and the X-ray, the diagnostic accordance rate of ultrasound diagnosis of digestive tract perforation, statistics and comparative analysis of the missed diagnosis.Results 36 cases of patients with X-ray consistent with surgery in the diagnosis of 28 cases, accounted for 80.56%, 8 cases of misdiagnosis, accounted for 22.22%; 36 patients underwent surgical diagnosis with ultrasound diagnosis and 32 cases, (88.89%), 4 cases were missed diagnosis (11.11%). The difference between the two methods was statistically significant (P<0.05). Conclusion Compared with X-ray examination, the diagnostic accuracy of ultrasound diagnosis of digestive tract perforation is more accurate, and the rate of missed diagnosis is lower.
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