目的研究多层螺旋CT与腹部X线 平片用于诊断老年肠梗阻的临床价值，为 今后临床实践提供参考与借鉴，提高对老 年肠梗阻的诊断水平。方法 以我院收治 的60例老年肠梗阻患者为研究对象，分别 对其进行多层螺旋CT检查和腹部X平片检 查，比较两种诊断方式的检查结果。结果 多层螺旋CT在梗阻诊断、梗阻部位、梗 阻原因方面的准确率明显高于腹部X线平 片，且在图像清晰度、患者舒适度方面均 优于腹部X线平片，p＜0.05，差异具有统 计学意义。结论 多层螺旋CT较腹部X线平 片在诊断老年肠梗阻方面具有重要的临床 价值，其影像具有一定的特征性，在确定 梗阻的发生部位、原因、程度等方面其直 观性以及准确性更佳，能够为患者的后续 治疗提供重要的参考依据，具有较高的临 床使用价值。

Objective To discuss clinical value of multi-slice spiral CT and abdominal X-ray plain film used in the diagnosis on elderly patients with intestinal obstruction, to provide the reference for clinical practices in the future, and to improve the diagnosis level on elderly intestinal obstruction. Methods Sixty patients with elderly intestinal obstruction admitted by the Hospital were selected as research subjects, who were separately subject to multi-slice Spiral CT examination and abdominal X-ray plain film examination, and examination results of two diagnosis methods were compared. Results The accuracy of multi-slice spiral CT in obstruction diagnosis, obstruction position and cause of obstruction was significantly higher than that of abdominal X-ray plain film, and the image resolution and the comfort of patients by multi-slice spiral CT were better than those of abdominal X-ray plain film (p<0.05), the differences were statistically significant. Conclusion Multi-slice spiral CT delivers more important clinical value in diagnosis of elderly patients with intestinal obstruction when compared to that of abdominal X-ray plain film, its images impose certain characteristic, it delivers better intuition and accuracy in determining the occurrence position, cause and degree of obstruction, and it can provide important reference basis for subsequent treatment, posing high value of clinical service.