有回声型超声造影在诊断婴儿幽门肥厚性狭窄中的优势

发布时间：2019-07-19 14:50

【摘要】：为研究并讨论有回声型超声造影剂在诊断婴儿幽门肥厚性狭窄中的优势。本研究随机抽取2014年4月至2015年12月在本院就诊的40例疑诊IHPS的呕吐患儿,入选患儿均行超声造影、普通超声及X线造影检查。与手术治疗、药物保守治疗后的确诊结果相比,超声造影、普通超声检查和X线造影对IHPS患儿的诊断符合率分别为97.50%、92.50%和92.50%,Youden指数分别为88.89%、82.44%和74.55%,Kappa值分别为0.925、0.805和0.776,超声造影检查对IHPS的诊断效果明显优于普通超声检查和X线造影检查。由此得出结论,超声造影显示的幽门管结构层次较普通超声更加清晰,可以为外科手术提供更准确的参数测量值,避免术中切开深度过大造成不必要的伤害;超声造影较X线无辐射,通过实践可以证实超声造影能够完全取代X线造影,可以作为诊断IHPS时普通超声检查的补充或者替代。
[Abstract]:To study and discuss the advantages of echo ultrasound contrast agent in the diagnosis of hypertrophic stenosis in infants. In this study, 40 children with vomiting suspected of IHPS were randomly selected from April 2014 to December 2015. All the children were examined by contrast-enhanced ultrasound, conventional ultrasound and X-ray angiography. Compared with the diagnostic results of surgical treatment and drug conservative treatment, the diagnostic coincidence rate of contrast-enhanced ultrasound, conventional ultrasound and X-ray angiography in children with IHPS was 97.50%, 92.50% and 92.50%, respectively. Youden index was 88.89%, 82.44% and 74.55%, respectively. The Kappa values were 0.925, 0.805 and 0.776, respectively. The diagnostic effect of contrast-enhanced ultrasound on IHPS was significantly better than that of conventional ultrasound and X-ray examination. It is concluded that contrast-enhanced ultrasound can provide more accurate parameter measurements for surgery and avoid unnecessary injury caused by excessive incision depth. Compared with X-ray, contrast-enhanced ultrasound can completely replace X-ray contrast-enhanced ultrasound and can be used as a supplement or substitute for ordinary ultrasound in the diagnosis of IHPS.
【作者单位】：连云港市第一人民医院超声科;
【分类号】：R445.1;R725.7

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