Diagnostic Efficacy of Different Evaluation Methods Based on Echocardiography for Coronary Artery Dilatation in Children with Kawasaki Disease
Objective:To explore the diagnostic efficacy of different evaluation methods based on echocardiogram(ECHO)in artery dilatation of children with Kawasaki disease(KD).Method:The case data of 80 children with KD treated in Yulin People's Hospital of Yuyang District from June 2021 to May 2023 were retrospectively analyzed.ECHO examination was performed in all patients,and all patients underwent coronary angiography examination determine,1995 standard,Zheng Lin Z-value method,Kobayashi method and Dallaire method evaluation.Coronary artery dilatation condition was analyzed in all children.The diagnostic results of different evaluation methods based on ECHO and their consistency with gold standard(coronary angiography)were analyzed.The efficacy of different evaluation methods in diagnosing coronary artery dilatation in children with KD was compared.Result:After 6 months of follow-up,the criteria of coronary angiography examination showed that 43 cases(53.75%)had coronary artery dilation and 37 cases(46.25%)had no coronary artery dilation.The sensitivity,specificity and accuracy for the 1995 standard diagnosis of coronary artery dilation in KD children were 72.09%(31/43),81.08%(30/37),and 76.25%(61/80)respectively,the Kappa value was 0.527.The sensitivity,specificity,accuracy of Zheng Lin Z value method for diagnosing coronary artery dilation in children with KD were 69.77%(30/43),86.49%(32/37),77.50%(62/80)and Kappa value was 0.554 respectively.The sensitivity and specificity,accuracy of Kobayashi method for diagnosing coronary artery dilation in KD children were 88.37%(38/43),94.59%(35/37),91.25%(73/80)respectively and Kappa value was 0.825.The sensitivity,specificity,and accuracy of Dallaire method for diagnosing coronary artery dilation in KD children were 76.74%(33/43),83.78%(31/37),and 80.00%(64/80)respectively,the Kappa value was 0.601.The sensitivity of Kobayashi method in diagnosing coronary artery dilatation in KD children was higher than that of Zheng Lin Z-value method,the accuracy was higher than that in 1995 standard,Zheng Lin Z-value method and Dallaire method,and the differences were statistically significant(P<0.05).Conclusion:Among several evaluation methods,Kobayashi method has a greater advantage in the diagnostic accuracy of coronary artery dilation in children with KD.
万方数据
维普
