摘要
目的探讨高频超声诊断消化道畸形患儿的临床价值。方法选取2016年1月至2021年9月在九江市妇幼保健院就诊的80例疑似消化道畸形患儿作为研究对象,患儿均进行高频超声和X线检查,以手术结果为金标准,分析其诊断消化道畸形的价值。结果80例患儿中,经手术诊断确诊75例消化道畸形,包括肥厚性幽门狭窄22例(27.50%),肠旋转不良合并中肠扭转20例(25.00%),肛门闭锁20例(25.00%),肠重复畸形5例(6.25%),小肠闭锁4例(5.00%),巨结肠2例(2.50%),十二指肠瓣式狭窄2例(2.50%)。高频超声的敏感度为96.00%(72/75)、特异度为80.00%(4/5)、准确度为95.00%(76/80),与金标准一致性Kappa值为0.640;X线检查的敏感度为78.67%(59/75)、特异度为60.00%(3/5)、准确度为77.50%(62/80),与金标准一致性Kappa值为0.168。结论高频超声诊断消化道畸形符合率较高,在诊断肥厚性幽门狭窄、肛门闭锁、肠重复畸形、巨结肠方面有一定优势,临床诊断价值较好。
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.
作者
张茜
卫建辉
江小迪
江楠
徐海英
ZHANG Qian;WEI Jianhui;JIANG Xiaodi;JIANG Nan;XU Haiying(Department of Functional Diagnostic,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang332001,China)
出处
《中国当代医药》
CAS
2022年第19期112-115,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(20204249)。
关键词
高频超声
消化道畸形
诊断价值
腹部平扫
High-frequency ultrasound
Gastrointestinal malformations
Diagnostic value
Abdominal plain scan
