Study on the Ultrasonographic Characteristics and Diagnostic Value in Suspected Cases of Pediatric Intestinal Malrotation
Objective:To explore the ultrasonographic characteristics and diagnostic value in suspected cases of pediatric intestinal malrotation.Method:From March 2022 to March 2024,98 suspected cases of pediatric intestinal malrotation were included in the study at Ganzhou Maternal and Child Health Hospital.All children underwent X-ray imaging and ultrasound diagnostics,with surgical pathology results serving as the gold standard.Ultrasonographic features in these pediatric cases were observed,and the sensitivity,specificity,and accuracy of the two diagnostic methods were compared.Result:Surgical pathology confirmed intestinal malrotation in 95 cases,with 3 cases showing no malrotation.Ultrasonography primarily revealed moderate-sized mass echoes in the upper abdomen,typical or atypical whirlpool signs,expanded upper abdominal veins,accompanied by intestinal wall edema and inter-intestinal effusion,and reduced blood flow in intestinal wall vessels.Among the 95 cases,intestinal malrotation was diagnosed in 72 cases by X-ray imaging and in 86 cases by ultrasound.The accuracy and sensitivity of ultrasound diagnosis for pediatric intestinal malrotation were 90.82% and 90.53%,respectively,all of which were higher than those of X-ray diagnosis(P<0.05).Conclusion:Ultrasound diagnosis shows higher accuracy,sensitivity than X-ray imaging in pediatric cases of suspected intestinal malrotation.Its unique ultrasonographic features hold significant diagnostic value for identifying intestinal malrotation in children.
Pediatric intestinal malrotationUltrasonographic characteristicsX-ray imagingPathological examinationDiagnostic value
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