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腹部彩超联合高频彩超用于小儿肠套叠诊断经验及价值

Diagnostic value and experience of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception

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目的 探讨腹部彩超联合高频彩超用于小儿肠套叠诊断价值及经验.方法 回顾性纳入 2021年 1月至 2023年 12月于铜陵市第四人民医院就诊的可疑肠套叠患儿 93例,均行腹部彩超及高频彩超检查,比较两种检查方式单用及联合用于小儿肠套叠诊断检出情况及临床效能.结果 93例可疑肠套叠患儿经钡剂灌肠镜 X线确诊阳性 68 例,阴性 25 例,检出率为 73.12%;其中阴性患儿疾病包括肠炎 20例,急性阑尾炎 3例,腹泻 1例,过敏性紫癜 1例.腹部彩超联合高频彩超用于小儿肠套叠检出率、诊断灵敏度、特异度及准确度均显著高于两种检查方式单用(P<0.05).结论 腹部彩超联合高频彩超用于小儿肠套叠诊断可有效改善检出效能,提高诊断灵敏度、特异度及准确度.
Objective To investigate the diagnostic value and experience of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception.Methods A total of 93 children with suspected intussusception admitted to Tongling Fourth People's Hospital from January 2021 to December 2023 were retrospectively included,all of whom underwent abdominal color ultrasound and high-frequency color ultrasound.The detection rate and clinical efficacy of two methods for the diagnosis of intussusception in children alone and in combination were compared.Results In 93 children with suspected intussusception,68 cases were positive and 25 cases were negative by barium colonoscopy X-ray,and the detection rate was 73.12%.The negative diseases included enteritis in 20 cases,acute appendicitis in 3 cases,diarrhea in 1 case and anaphylactoid purpura in 1 case.The detection rate,diagnostic sensitivity,specificity and accuracy of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception were significantly higher than those of the two methods alone(P<0.05).Conclusion Abdominal color ultrasound combined with high frequency color ultrasound can effectively improve the detection efficiency,sensitivity,specificity and accuracy of the diagnosis of intussusception in children.

IntussusceptionColor Doppler ultrasoundHigh-frequencyChildrenDiagnosis

汪久宏、丁莉、梁丽

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244099 安徽省,铜陵市第四人民医院(铜陵市妇幼保健院)超声科

肠套叠 彩色多普勒超声 高频 儿童 诊断

2024

中华消化病与影像杂志(电子版)
中华医学会

中华消化病与影像杂志(电子版)

CSTPCD
影响因子:0.641
ISSN:2095-2015
年,卷(期):2024.14(3)
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