腹部胃区叩诊法在小儿慢性胃炎诊断中的价值  

Diagnosis of chronic gastritis in children by gastric area abdominal percussion

作　　者：于立君[1] 李倩[1] 黄素芳[1] 姚笠[1] 

机构地区：[1]哈尔滨医科大学附属第二医院儿内科,150086

出　　处：《疑难病杂志》2011年第8期588-590,共3页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的探讨腹部叩诊法在小儿慢性胃炎诊断中的作用。方法对胃区有叩击痛的患儿80例和胃区叩击痛阴性的患儿22例同时行胃肠钡透和纤维胃镜检查,将腹部叩诊与这2种传统的诊断小儿慢性胃炎的方法进行比较,分析3种方法诊断小儿慢性胃炎的符合率。结果以胃镜检查阳性为金标准,腹部胃区叩诊诊断慢性胃炎的灵敏度为97.53%(79/81),一致性为0.971;胃肠钡透诊断的灵敏度为29.63%(24/81),一致性为0.5392,胃肠钡透显著低于腹部胃区叩诊法。结论腹部胃区叩诊法辅助诊断小儿慢性胃炎诊断率显著优于胃肠钡透;定性诊断方面腹部叩诊法与纤维胃镜检查有极高的符合率,是无创诊断慢性胃炎的好方法 。Objective To investigate the effect of using gastric area abdominal percussion to diagnose chronic gastritis in children.Methods 80 children with abdominal percussion pain were gave both barium and gastroscope investigation.Another 22 children with no abdominal percussion pain were also enrolled and received barium and gastroscope examinations.The three methods were compared in diagnosing of chronic gastritis.Results The gastroscope inspection were used as gold standard, the sensitivity of abdominal percussion in diagnosing of chronic gastritis was 97.53%（79/81）,while the consistency is 0.971;for the method of gastrointestinal barium,the sensitivity is 29.63%（24/81）,the consistency is 0.5932,which is significantly lower than that of abdomen percussion.Conclusion The diagnostic accuracy of abdominal percussion is better than the barium study.For the qualitative diagnosis,abdominal percussion consistent with gastroscope in children with chronic gastritis and might be a very good method in diagnosing children s gastritis noninvasively.

关 键 词：胃炎 慢性 小儿 腹部胃区叩诊法 胃肠钡透 纤维胃镜 

分 类 号：R725.7[医药卫生—儿科]