儿童胃肠道息肉的超声检查诊断分析
Analysis of ultrasonic diagnosis of gastrointestinal polyps in children
苗莉莉 1王峰 2岳淑玲 3刘小芳 1张新村 1闫玉玺 1刘庆华1
作者信息
- 1. 山东大学附属儿童医院超声科 山东 济南 250022
- 2. 济南市第三人民医院肿瘤科 山东 济南 250132
- 3. 山东省淄博市周村区妇幼保健院超声科 山东 淄博 255300
- 折叠
摘要
目的 探讨超声检查在儿童胃肠道息肉诊断中的应用价值.方法 选取超声检查诊断胃肠道息肉患儿 681例,所有患儿均经消化道内镜、腹腔镜或开腹手术行息肉摘除术,将超声检查与手术、病理对照.结果 超声检查诊断胃肠道息肉的总的敏感度、特异度、阳性预测值、阴性预测值、Youden 指数及准确度均在 97.00%以上,Kappa 值为 0.975,P<0.001,超声检查诊断与术后病理对照具有高度一致性.息肉病理类型最多见的是幼年性息肉 647 例(95.00%)、其次Peutz-Jeghers综合征肠息肉 25 例(3.67%)、幼年性息肉病 4 例(0.59%),三种病理类型的胃肠道息肉均具有典型的临床特征和声像图表现.结论 不同病理类型的儿童胃肠道息肉声像图各具特点,超声检查诊断与病理具有高度一致性,可为临床诊断和治疗提供可靠的影像学依据.
Abstract
Objective To investigate the value of ultrasonography in the diagnosis of gastrointestinal polyps in children.Methods A total of 681 children with gastrointestinal polyps were diagnosed by ultrasound.All the children underwent endo-scopic,laparoscopic or open surgery to remove polyps.The findings of ultrasound were compared with surgery and pathology.Results The overall sensitivity,specificity,PPV,NPV,Youden index and accuracy of ultrasonic diagnosis of gastrointestinal polyps were above 97.00%,Kappa value was 0.975,P<0.001,and ultrasound diagnosis was highly consistent with postopera-tive pathological results.The most common pathological types of polyps were juvenile polyposis in 647 cases(95.00%),fol-lowed by intestinal polyps with Peutz-Jeghers syndrome in 25 cases(3.67%)and juvenile polyposis syndrome in 4 cases(0.59%).The three types showed typical ultrasonographic manifestations.Conclusions The ultrasonography of gastrointestinal polyps in children with different pathological types has its own characteristics,and the ultrasonography diagnosis and pathologi-cal results are highly consistent,which can provide reliable imaging basis for clinical diagnosis and treatment.
关键词
超声检查/儿童/幼年性息肉/黑斑息肉综合征/幼年性息肉病Key words
Ultrasound/Children/Juvenile polyposis/Peutz-Jeghers syndrome/Juvenile polyposis syndrome引用本文复制引用
出版年
2024
NETL
NSTL
万方数据