超声与X线造影诊断婴儿肥厚性幽门狭窄的对比分析  

Comparative analysis of ultrasonography and X-ray in diagnosis of infantile hypertrophic pyloric stenosis

作　　者：巴双[1] 韩建明[1] 于明[1] 刘玉[1] 孙西军[2] 郝丽[3] 

机构地区：[1]江苏省连云港市第一人民医院超声科,222002 [2]江苏省连云港市第一人民医院影像科,222002 [3]江苏省连云港市第一人民医院新生儿科,222002

出　　处：《临床超声医学杂志》2013年第7期491-493,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的比较超声和X线造影对婴儿肥厚性幽门狭窄(IHPS)的诊断价值。方法对61例临床疑诊IHPS的呕吐患儿进行超声和X线造影检查,结果进行统计学分析。结果与临床治疗结果比较,超声对IHPS的诊断符合率为95.08%,Youden指数89.31%,Kappa值0.875;X线造影对IHPS的诊断符合率为93.44%,Youden指数75.00%,Kappa值0.816。结论超声和X线造影诊断IHPS均较准确、可靠,超声检查更简便易行,可作为首选的影像学检查方法。当超声检查结果为阴性而患儿临床表现明显时,应结合X线造影结果,有利于及早明确诊断。Objective To compare the value of ultrasound and X-ray image in the diagnosis of infantile hypertrophic pyloric stenosis（IHPS）. Methods Sixty-one vomiting patients with clinical suspected as IHPS were examined by ultrasonography and X-ray image. The results were analyzed statistically. Results Compared with clinical results,diagnostic coincidence rate of ultrasonography was 95.08%,Youden index was 89.31% and Kappa value was 0.875. The diagnostic coincidence rate of X-ray image was 93.44% ,Youden index was 75.00% and Kappa value was 0.816. Conclusion For diagnosing IHPS,ultrasonography and X-ray image both have high accuracy, validity and reliability. But ultrasonography is better and it can be the first choice for diagnosing IHPS. However,when the result of ultrasonography is negative for a child with obvious clinical manifestation,X -ray image should be combined for the definitive diagnosis as early as possible.

关 键 词：婴儿 肥厚性幽门狭窄 X线 超声检查 造影剂 

分 类 号：R726.5[医药卫生—儿科] R445.1[医药卫生—临床医学]