高频超声诊断消化道畸形患儿的临床价值

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (560 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical value of high frequency ultrasonography in diagnosing digestive tract malformation in children. Methods Eighty children with suspected digestive tract malformation in Jiujiang Maternal and Child Health Hospital from January 2016 to September 2021 were selected as the research subjects. High-frequency ultrasound and X-ray examination were performed on all the children, and the value of diagnosis of digestive tract malformation was analyzed with the surgical results as the gold standard. Results Among the 80 cases, 75 cases were diagnosed with gastrointestinal malformation by operation. Including 22 cases of hypertrophic pyloric stenosis (27.50%), 20 cases of malrotation with midgut volvulus (25.00%), 20 cases of anal atresia (25.00%), 5 cases of intestinal duplication malformation (6.25%), 4 cases of intestinal atresia (5.00%), 2 cases of megacolon (2.50%), and 2 cases of duodenal flap stenosis (2.50%). The sensitivity, specificity and accuracy of high-frequency ultrasound were 96.00% (72/75), 80.00% (4/5) and 95.00% (76/80), respectively. And the Kappa value consistent with gold standard was 0.640. The sensitivity, specificity and accuracy of X-ray examination were 78.67% (59/75), 60.00% (3/5) and 77.50% (62/80), respectively. And the Kappa value consistent with gold standard was 0.168. Conclusion High frequency ultrasound diagnosis of digestive tract malformation has a high coincidence rate, in the diagnosis of hypertrophic pyloric stenosis, anal atresia, intestinal duplication malformation, hirschsprung′s colon has a certain advantage, the clinical diagnostic value is good.

Key words： High-frequency ultrasound Gastrointestinal malformations Diagnostic value Abdominal plain scan

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Qian
	WEI Jianhui
	JIANG Xiaodi
	JIANG Nan
	XU Haiying

Cite this article:

ZHANG Qian,WEI Jianhui,JIANG Xiaodi, et al. Clinical value of high frequency ultrasonography in diagnosing digestive tract malformation in children[J]. 中国当代医药, 2022, 29(19): 112-115.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I19/112

[1]	闫学强，李欢，卞红强，等.完全腹腔镜下肠肠吻合技术在消化道畸形中的运用[J].中华小儿外科杂志，2017，38（9）：666-670.
[2]	王至立，谷成超，汪泉，等.先天性肛门直肠畸形患儿血清VA及肠组织RARα表达及意义[J].第三军医大学学报，2018，40（17）：1584-1589.
[3]	王小花，罗洪霞，潘尹，等.浅表超声与X-线上消化道造影检查诊断新生儿上消化道梗阻性疾病的效果比较[J].温州医科大学学报，2016，46（7）：530-533.
[4]	那熹，王伟.胃肠彩超、腹部X线平片、CT平扫与空气灌肠用于小儿肠套叠诊断及复位效果评估的对比分析[J].中国CT和MRI杂志，2020，18（1）：131-133.
[5]	王洲，冯景，张伟莉，等.高频超声在儿童消化道畸形中的诊断价值[J].医学影像学杂志，2021，31（5）：885-887.
[6]	王浩清，姜斌，孙德霞，等.单孔腹腔镜手术治疗小儿小肠黏膜下血管畸形致肠梗阻1例报告[J].中国微创外科杂志，2021，21（9）：862-864.
[7]	穆雨，曹海玮.超声诊断儿童消化道畸形的临床应用价值[J].临床研究，2018，26（5）：133-134.
[8]	吕文强，苏义林，王亮.腹腔镜与开放手术治疗肥厚性幽门狭窄的效果比较[J].安徽医学，2021，42（4）：374-377.
[9]	孙小兵，李健，代晋宇.前矢状入路肛门成形术治疗肛门闭锁直肠前庭瘘的疗效评价[J].临床小儿外科杂志，2018， 17（10）：763-768.
[10]	广旸，何文，张红霞，等.三维超声断层成像技术评价胎儿肛门直肠发育的价值[J].中华医学超声杂志（电子版），2019，16（5）：380-385.
[11]	余东海，施佳，龚一鸣，等.结直肠重复畸形七例诊治经验[J].中华小儿外科杂志，2018，39（6）：445-450.
[12]	张淋，刘芳.高频超声在小儿囊肿型肠重复畸形及其常见并发症中的诊断价值[J].影像研究与医学应用，2019， 3（13）：190-191.
[13]	林宇，吴晓娟，黄文华，等.新生儿坏死性小肠结肠炎和先天性巨结肠肠穿孔的鉴别诊断和治疗[J].中华实用儿科临床杂志，2019，34（21）：1645-1648.
[14]	马亚，李颀，张震，等.超声对先天性巨结肠术后并发症的诊断价值[J].中国医学影像学杂志，2021，29（1）：60-64.
[15]	张敏，林海，吴汤娜，等.高频超声在先天性小肠闭锁中的诊断价值[J].医学影像学杂志，2019，29（10）：1765-1768.