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作 者:王岩[1] 刘海飞[1] 丁雪丽[1] 崔春凤[1] 石海亚[1]
机构地区:[1]辽宁省沈阳市儿童医院超声科,辽宁沈阳110032
出 处:《实用医学影像杂志》2009年第1期55-57,共3页Journal of Practical Medical Imaging
摘 要:目的探讨超声检查对先天性肥厚性幽门狭窄(CHPS)和幽门痉挛的鉴别诊断价值。方法对15例经手术病理证实为CHPS患儿的幽门管长度,幽门肌层厚度进行测量,并与20例幽门痉挛患儿和10例正常婴儿进行比较。结果超声测量CHPS患儿组幽门肌层厚度大于等于4.4mm,与幽门痉挛患儿和正常婴儿比较有统计学意义(P<0.05)。在幽门管长度测量上,CHPS组(大于等于14.6mm)与幽门痉挛组和正常对照组比较有统计学意义(P<0.05),幽门痉挛组与对照组比较无统计学意义(P>0.05)。结论超声检查对鉴别CHPS和幽门痉挛具有重要的价值,幽门肌层厚度测量及动态观察在诊断中则具有更为重要的意义。Objective To explore the value of ultrasonography for differentiating congenital hypertrophic pyloric stenosis(CHPS) from pylorospasm (PSP). Methods The ultrasonic measurements of pyloric canal length and pyloric muscle thickness were performed in 15 infants with surgically and pathologically proved CHPS. The ultrasonic data obtained from CHPS infants were compared with those in 20 PSP infants and 10 normal infants. Results The pyloric muscle thickness (〉or =4.4 mm) measured in CHPS infants was significantly more than that in PSP infants and normal infants (P〈0.05).The pyloric canal length (〉or =14.6 ram) measured in CHPS infants was significantly longer than that in PSP infants and normal infants (P〈0.05)but there was not statistic difference between PSP infants and normal infants (P〉0.05).Conclusion Uhrasonography has important value to differentiate CHPS from PSP,especially, the ultrasonic measurements of pyloric muscle thickness and its dynamic observations play a critical role in accurately diagnose CHPS.
分 类 号:R445.1[医药卫生—影像医学与核医学] R573.6[医药卫生—诊断学]
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