摘要
目的:分析超声检查与腹部X线平片在儿童急性肠梗阻临床诊断中的效能。方法:选取2022年1月至2023年11月期间本院急诊科收治的74例急性肠梗阻患儿作为研究对象。患儿急诊入院后均分别接受超声检查、腹部X线平片检查。以临床综合诊断结果作为“金标准”,观察对比超声、腹部X线平片影像学表现。分析对比两种检查对急性肠梗阻的诊断效果。结果:经过临床综合诊断,本研究的74例患者中,梗阻部位:小肠梗阻41例,结肠梗阻33例;出现肠绞窄者17例。肠梗阻的病因:肠粘连30例,疝7例,肠套叠15例,粪石17例,肠扭转5例。腹部X线平片检出梗阻部位的总符合率高于超声检查,但无显著差异(P>0.05)。腹部X线平片对肠绞窄的检出率比超声检查显著降低(P<0.05)。超声检查对肠梗阻病因总诊断符合率为70.27%(52/74),比腹部X线平片显著提高(P<0.05)。结论:超声检查对儿童急性肠梗阻病因、肠绞窄的检出效果相对优于腹部X线平片,可为临床诊治儿童急性肠梗阻提供更全面的影像学信息。
Objective:To analyze the efficacy of ultrasonography and abdominal X-ray in the clinical diagnosis of acute intestinal obstruction in children.Methods:74 children with acute intestinal obstruction admitted to the emergency department of our hospital from January 2022 to November 2023 were selected as the study objects.After emergency admission,all the children received ultrasound examination and abdominal X-ray examination respectively.The clinical comprehensive diagnosis results were used as the"gold standard"to observe and compare the imaging findings of ultrasound and abdominal X-ray.To analyze and compare the diagnostic effect of two kinds of examination on acute intestinal obstruction.Results:After comprehensive clinical diagnosis,the obstruction sites of 74 patients in this study were as follows:small intestine obstruction in 41 cases,colonic obstruction in 33 cases;Intestinal strangulation occurred in 17 cases.The causes of intestinal obstruction were intestinal adhesion in 30 cases,hernia in 7 cases,intussusception in 15 cases,fecalith in 17 cases and intestinal torsion in 5 cases.The total coincidence rate of abdominal plain X-ray was higher than that of ultrasound,but there was no significant difference(P>0.05).The detection rate of intestinal strangulation by abdominal X-ray was significantly lower than that by ultrasonography(P<0.05).The total diagnostic coincidence rate of ultrasonic examination for the cause of intestinal obstruction was 70.27%(52/74),which was significantly higher than that of abdominal X-ray film(P<0.05).Conclusion:Ultrasonography is better than plain abdominal X-ray in detecting the etiology and strangulation of children with acute ileus,which can improve the comprehensive imaging information for clinical diagnosis and treatment of children with acute ileus.
作者
刘阳
Liu Yang(Department of Ultrasound Medicine,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450006,China)
关键词
超声检查
腹部X线平片
儿童急性肠梗阻
诊断效能
Ultrasonic examination
Plain abdominal X-ray
Acute intestinal obstruction in children
Diagnostic efficiency
