The Value of Ultrasonic Scoring System in Evaluating the Severity of Adhesive Intestinal Obstruction
LILiang,WANG Guang-xia,CUI Yun-feng
Department of Ultrasound, Tianjin Nankai Hospital, Tianjin (300100),China
Abstract:
Objective To establish the ultrasonic scoring system for adhesive intestinal obstruction (AIO)and to discuss the clinical value of ultrasonic scoring system. Methods Six indicators which including intestinal ischemic damage, narrow changes in intestinal, internal hernia, volvulus or intussusception, celiac effusion, intestinal dilatation, intestinal wall thickening with intestinal cavity narrowing were incorporated into the scoring system. 124 cases of AIO were scored by US and the results were statistically compared with the results of CT and surgery. Results The scores of 124 cases of AIO were as follows: the highest score was 16 points,the lowest score was 4 points and the average score was (10±2.7) points. Compared with the results of surgery,the higher the ultrasonic score was, the greater the severity as well as the higher the risk simultaneously. In 124 cases of AIO, the diagnostic coincidence rates of US and CT for intestinal ischemic damage were 80% and 70% respectively, with no statistically significant difference (P >0.05). The diagnostic coincidence rates of US and CT for narrow changes in intestine were 95.1% and 86.4% respectively, with statistically significant differences(P <0.05).The diagnostic coincidence rates of US and CT for internal hernia, volvulus or intussusception were 46.7% and 82.2% respectively, with statistically significant differences (P <0.01). The diagnostic coincidence rates of US and CT for celiac effusion were 46.7% and 60% respectively, with no statistically significant difference (P >0 . 05 ). There was no significant difference in the diagnostic coincidence rate of the degree of intestinal dilatation between ultrasound and CT (P >0.05). The diagnostic coincidence rates of US and CT for intestinal wall thickening with intestinal cavity narrowing were 72.1% and 69.8% respectively, with no statistically signi?cant difference (P>0.05). Conclusion The ultrasonic scoring system can help to evaluate the severity of AIO and provide the imaging basis for the clinician to formulate the treatment plan, so as to improve the cure rate and reduce the death rate.
