先天性肠道畸形患儿应用超声诊断的临床价值
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摘要
目的:探究超声诊断在先天性肠道畸形患儿中的应用价值。方法:回顾性分析2012年10月～2017年9月期间于我院经手术确诊的68例先天性肠道畸形患儿临床资料。所有患儿均已于术前行超声检查,比较超声诊断结果与手术所见差异,并分析其影像特征。结果:超声诊断结果显示有20例(29. 41%)肠旋转不良、14例(20. 59%)巨结肠、14例(20. 59%)肠狭窄或肠闭锁、10例(14. 71%)肠重复畸形、6例(8. 82%)梅克尔憩室,经随访手术确诊结果比对,除其中1例(1. 47%)梅克尔憩室患儿被诊断为肠重复畸形外其余诊断均属准确,此外另有4例(5. 88%)患儿未见超声异常征象提示为漏诊。结论:先天性肠道畸形患儿采取超声检查可获得较为理想的诊断效果,故有一定临床应用价值。
Objective: To explore the application values of ultrasound diagnosis in children with congenital intestinal malformations. Methods:The clinical data of 68 cases of children diagnosed surgically with congenital intestinal malformations from October 2012 to September 2017 were ret-rospectively analyzed. All children were given preoperative ultrasound examination,and the differences between ultrasound diagnosis results andsurgical findings were compared,and the imaging features were analyzed. Results: Ultrasound diagnosis showed that there were 20 cases( 29. 41%) of malrotation of intestine,14 cases( 20. 59 %) of megacolon,14 cases( 20. 59 %) of intestinal stricture or intestinal atresia,10 cases( 14.71%) of duplication of intestine and 6 cases( 8. 82 %) of Meckel's diverticulum. After comparison of follow-up surgery diagnosis,the diagnosisresults were accurate except that 1 case( 1. 47%) of children with Meckel's diverticulum was diagnosed as duplication of intestine,and that 4 cases( 5. 88%) showed no signs of ultrasound abnormalities and they were missed diagnosis. Conclusion: Ultrasound for children patients with congeni-tal intestinal malformations can obtain satisfactory diagnostic results,and therefore it has some clinical application values.
Objective: To explore the application values of ultrasound diagnosis in children with congenital intestinal malformations. Methods:The clinical data of 68 cases of children diagnosed surgically with congenital intestinal malformations from October 2012 to September 2017 were ret-rospectively analyzed. All children were given preoperative ultrasound examination,and the differences between ultrasound diagnosis results andsurgical findings were compared,and the imaging features were analyzed. Results: Ultrasound diagnosis showed that there were 20 cases( 29. 41%) of malrotation of intestine,14 cases( 20. 59 %) of megacolon,14 cases( 20. 59 %) of intestinal stricture or intestinal atresia,10 cases( 14.71%) of duplication of intestine and 6 cases( 8. 82 %) of Meckel's diverticulum. After comparison of follow-up surgery diagnosis,the diagnosisresults were accurate except that 1 case( 1. 47%) of children with Meckel's diverticulum was diagnosed as duplication of intestine,and that 4 cases( 5. 88%) showed no signs of ultrasound abnormalities and they were missed diagnosis. Conclusion: Ultrasound for children patients with congeni-tal intestinal malformations can obtain satisfactory diagnostic results,and therefore it has some clinical application values.
引文
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[10]刘浩,周昕,陈俊,等.婴幼儿梅克尔憩室的超声诊断要点及漏诊误诊分析[J].中国医学计算机成像杂志,2017,23(3):256-260.
[11]孙小兵,李殿国,王若义,等.肛管内超声对排粪失禁患儿肛门括约肌受损程度的评价[J].中华胃肠外科杂志,2014,17(3):250-253.
[2]王丹,胡勇军,杨红,等.高频超声诊断小儿先天性肠旋转不良合并中肠扭转的价值[J].中华超声影像学杂志,2013,22(4):360-361.
[3]谢维维,解左平.超声在小儿肠旋转不良的中的应用[J].中国优生与遗传杂志,2014,22(4):130-131.
[4]王峥嵘,张玉林,苏英姿,等.超声在先天性肠旋转不良及中肠扭转诊断中的价值[J].中华超声影像学杂志,2014,23(3):243-246.
[5]刘小芳,刘庆华,张新村,等.超声诊断小儿先天性巨结肠的价值[J].中国医学影像技术,2013,29(1):88-91.
[6]李明娟,曾建均,何玉婷.超声诊断儿童先天性巨结肠1例[J].临床超声医学杂志,2014,16(11):770.
[7]刘庆华,刘小芳,张新村,等.超声诊断小儿先天性肠闭锁和狭窄[J].中国医学影像技术,2014,30(3):429-432.
[8]易欣,高虹,李雪娇,等.先天性小肠狭窄及闭锁的超声诊断[J].中国医学影像学杂志,2016,24(8):589-590.
[9]王秋平,王爱平,王军.超声对小儿肠重复畸形的诊断价值[J].中国药物与临床,2017,17(9):1308-1309.
[10]刘浩,周昕,陈俊,等.婴幼儿梅克尔憩室的超声诊断要点及漏诊误诊分析[J].中国医学计算机成像杂志,2017,23(3):256-260.
[11]孙小兵,李殿国,王若义,等.肛管内超声对排粪失禁患儿肛门括约肌受损程度的评价[J].中华胃肠外科杂志,2014,17(3):250-253.