超声诊断儿童药物性胆囊结石:与成人胆囊结石对比分析

发布时间：2018-03-02 15:34

本文选题：超声诊断　切入点：儿童　出处：《中国超声医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的总结儿童药物性胆囊结石(DGST)声像图特点,评价彩色多普勒超声对儿童DGST的诊断价值。方法回顾性分析26例临床诊断为儿童DGST患者资料,根据声像图表现把儿童DGST分为三种类型:团块型、泥沙型和悬浮型。把团块型DGST与随机选取经手术治疗的60例成人胆囊结石资料(GST)对比分析。结果 26例DGST患者中团块型14例,泥沙型8例,悬浮型4例。团块型DGST声像图表现为结石形态不规则、结构松散,与成人GST比较差异有统计学意义(P0.05),儿童DGST结石直径与用药时间呈正相关(r=0.946,P0.001),与停药后消失时间无相关性(r=0.226,P=0.267)。结论儿童DGST声像图表现和临床转归与成人GST不同,超声检查结合用药史和停药后结石消失的特点可做出提示性诊断。
[Abstract]:Objective to summarize the children's drug gallstone (DGST) sonographic features, to evaluate the value of color Doppler ultrasound in the diagnosis of DGST in children. Methods a retrospective analysis of 26 patients with a clinical diagnosis of children with DGST, according to the sonographic features of the children with DGST are divided into three types: mass type, type of sediment and suspended the mass type. DGST and randomly selected 60 cases with adult gallstone surgery data (GST) comparative analysis. Results 14 cases of 26 cases were DGST patients, 8 cases of 4 cases of suspended sediment type, mass type DGST. Ultrasonographic features of stones of irregular shape, loose structure, with significant adult GST the difference (P0.05), children's DGST stone diameter and medication time was positively (r=0.946, P0.001), and after stopping the disappearance time of no correlation (r=0.226, P=0.267). The presentation and clinical outcome of DGST in children and adults with different sonographic conclusion GST, ultrasound combined with The characteristics of the history of drug use and the disappearance of stones after drug withdrawal can make a suggestive diagnosis.

【作者单位】：内蒙古自治区人民医院超声科;
【分类号】：R445.1;R575.62;R726.9

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