消化道造影与多普勒超声在不同年龄儿童先天性肠旋转不良比较分析

发布时间：2018-02-25 05:29

本文关键词： 消化道造影肠旋转不良多普勒超声　出处：《中国地方病防治杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨消化道造影与多普勒超声在不同年龄儿童先天性肠旋转不良诊断中的意义。方法回顾性分析2012年3月-2015年2月医院收治的100例先天性肠旋转不良患儿临床资料及术前消化道造影与超声检查结果,将两种检查结果进行对比分析。结果两组患儿主要症状均为胆汁性呕吐、便秘、腹胀,新生儿与非新生儿组腹痛发生率有显著性差异(P0.05);与手术结果对照,患儿术前消化道造影检查确诊86例(占86.0%)肠旋转不良,其中新生儿组共检出52例,非新生儿组共检出34例,多普勒超声检查确诊74例(占74.0%)肠旋转不良,新生儿组共检出48例,非新生儿组共检出26例;患儿术前消化道造影检查与超声检查确诊率比较,差异具有统计学意义(χ~2=4.500,P=0.03);消化道造影在肠旋转不良无肠扭转确诊率新生儿组(52.9%)与非新生儿组(90.9%)比较,差异具有统计学意义(χ~2=4.4140,P=0.036);消化道造影与多普勒超声在新生儿肠旋转不良合并肠扭转确诊率(97.6%,73.2%)比较,有显著性差异(χ~2=9.9071,P=0.004)。结论不同年龄儿童先天性肠旋转不良诊断可采用消化道造影及多普勒超声检查,消化道造影对新生儿肠旋转不良合并肠扭转的诊断率较高。
[Abstract]:Objective to investigate the significance of gastrointestinal angiography and Doppler ultrasound in the diagnosis of congenital intestinal malrotation in children of different ages. Methods A retrospective analysis of 100 cases of children with congenital intestinal malrotation admitted from March 2012 to February 2015 in our hospital was conducted. The data of the bed and the results of gastrointestinal angiography and ultrasonography before operation. Results the main symptoms of the two groups were bile vomiting, constipation, abdominal distension, and the incidence of abdominal pain in newborns and non-newborns was significantly different (P 0.05). 86 cases (86.0%) of intestinal malrotation were diagnosed by digestive tract examination before operation, 52 cases were detected in newborns group, 34 cases were detected in non-newborn group, 74 cases (74.0%) were diagnosed by Doppler ultrasound, 48 cases were detected in newborn group. A total of 26 cases were detected in the non-neonatal group. There was a significant difference in the diagnostic rate between preoperative gastrointestinal angiography and ultrasound examination (蠂 ~ 2 / 2 ~ (4.500) P ~ (0.03); Gastrointestinal Angiography in the newborns with intestinal malrotation and no intestinal volvulus), compared with that in the non-newborns group (n = 90.9). The difference was statistically significant (蠂 2: 4.4140), and the diagnostic rate of gastrointestinal angiography and Doppler ultrasound in diagnosis of intestinal malrotation complicated with volvulus was 97.6% and 73.2%, respectively. Conclusion the diagnosis of congenital intestinal malrotation in children of different ages can be diagnosed by alimentary tract angiography and Doppler ultrasonography. The diagnostic rate of digestive tract angiography in neonates with intestinal malrotation combined with intestinal volvulus is higher.
【作者单位】：武汉市妇女儿童医疗保健中心放射科;
【分类号】：R725.7;R445.1;R816.92

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