高频超声检查在小儿肠套叠鉴别诊断中的应用价值
The differential diagnostic value of high-frequency ultrasound in transient and persistent small intestine intussusception
江华 1刘慧 2张文芳 3王璇 1张波4
作者信息
- 1. 山东省东营市东营区人民医院儿内科 山东 东营 257000
- 2. 山东省胜利油田中心医院儿内科 山东 东营 257000
- 3. 山东省东营市东营区人民医院超声科 山东 东营 257000
- 4. 山东第一医科大学附属省立医院超声科 山东 济南 250000
- 折叠
摘要
目的 探讨高频超声检查对小儿肠套叠的鉴别诊断价值.方法 选取 126 例小儿肠套叠患儿,均行高频超声检查,根据临床诊断结果将患儿分为甲组(一过性小儿肠套叠)69 例与乙组(持续性小儿肠套叠)57 例,比较两组患儿的影像学表现.结果 所有患儿高频超声检查显示小肠包块横切面呈"同心圆征"、纵切面呈"套筒征".甲组套叠部位的直径与深度分别为(16.14±3.35)mm、(19.59±4.26)mm,乙组套叠部位的直径与深度分别为(18.87±3.68)mm、(27.83±6.37)mm,乙组套叠部位的直径与深度均高于甲组,差异有统计学意义(P<0.05).乙组套叠肠壁蠕动情况正常/活跃的概率(68.42%)低于甲组(98.55%),套叠肠壁水肿率(15.79%)高于甲组(0%),差异有统计学意义(P<0.05).结论 两组高频超声检查特征存在差异,甲组通常伴有包块直径小、深度低、肠壁蠕动正常/活跃、无水肿等特征,有持续性小儿肠套叠危险.
Abstract
Objective To explore the differential diagnostic value of high-frequency ultrasound for transient and persistent small intestine intussusception.Methods Retrospective analysis was conducted on the clinical data of 126 children with small intestine intussusception admitted to our hospital from January 2021 to December 2023.All patients underwent high-frequency ul-trasound examination and were divided into group A(transient small intestine intussusception,n=69)and group B(persistent small intestine intussusception,n=57)based on clinical diagnosis results.The imaging manifestations of the two groups of patients were compared.Results All children's high-frequency ultrasound showed that the transverse section of the small intestine mass showed a"concentric circle sign"and the longitudinal section showed a"sleeve sign".The diameter and depth of the intussuscep-tion site in Group A were(16.14±3.35)mm and(19.59±4.26)mm respectively.The diameter and depth of the intussusception site in Group B were(18.87±3.68)mm and(27.83±6.37)mm respectively.The diameter and depth of the intussusception site in Group B were higher than those in Group A,and the difference was statistically significant,P<0.05.The probability of normal/active peristalsis of the intussusception intestinal wall in Group B(68.42%)was lower than that in Group A(98.55%),and the edema rate of the intussusception intestinal wall(15.79%)was higher than that in Group A(0.00%),with statistical significance(P<0.05).Conclusion There are certain differences in the high-frequency ultrasound examination results between transient and persistent small intestine intussusception.Transient small intestine intussusception is usually accompanied by characteristics such as small lump diameter,low depth,normal/active intestinal wall peristalsis,and no edema.Otherwise,it is highly likely to be persistent small intestine intussusception.Based on the results of high-frequency ultrasound examination,clinical practice can as-sist in determining the type of small intestine intussusception in children.For children suspected of transient small intestine intus-susception,high-frequency ultrasound should be promptly reviewed within 24 hours after examination to further clarify the pa-tient's condition and provide scientific guidance for the selection of clinical treatment plans.
关键词
小儿肠套叠/一过性/持续性/肠壁蠕动/超声检查Key words
Pediatric intussusception/Transient/Sustainability/Intestinal wall peristalsis/Ultrasound引用本文复制引用
基金项目
山东省医药卫生科技项目(202306010819)
出版年
2024
NETL
NSTL
万方数据