小儿十二指肠梗阻的超声诊断价值  

Diagnostic value of ultrasonography in children with congenital duodenal obstruction

作　　者：孙超[1] 何立红[1] 胡小华[1] 张忠德[1] 李性希[1] 

机构地区：[1]南方医科大学附属中山市博爱医院超声科,广东省中山市528403

出　　处：《临床超声医学杂志》2013年第7期497-499,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声在小儿十二指肠梗阻中的诊断价值。方法回顾分析63例十二指肠梗阻患儿的超声表现和术中所见。结果①63例十二指肠梗阻患儿,超声正确诊断58例,3例误诊为脐肠束带所致的肠扭转,2例未发现梗阻;②十二指肠梗阻超声诊断符合率为92.1%,病因总体诊断符合率为79.4%,其中肠旋转不良为84.8%,十二指肠膜性狭窄为7/8,十二指肠闭锁为6/9,环状胰腺为69.2%。结论超声在小儿先天性十二指肠梗阻及其病因的诊断方面有重要临床应用价值,可作为首选影像学检查方法。Objective To evaluate the diagnostic value of ultrasonography in children with congenital duodenal obstruction. Methods Sonographic features,findings in operation and clinical data of 63 children with duodenal obstruction were analyzed retrospectively. Results ① In 63 children with duodenal obstruction, 58 cases were diagnosed accurately by ultrasonography,3 cases were misdiagnosed as intestinal volvulus due to congenital bands from the vitelline remnants and 2 cases presented the absence of obstructive lesion. ② The accuracy of ultrasonography in the diagnosis of duodenal obstruction and etiology are 92.1% and 79.4% ,respectively. The rates of intestinal malrotation,duodenal diaphragm,duodenal atresia and annular pancreas were 84.8% ,7/8,6/9 and 69.2% ,respectively. Conclusion Ultrasonography has an important value in congenital duodenal obstruction and the etiological diagnosis in children,and it can be used as a routine first choice method of imaging examination.

关 键 词：超声检查 十二指肠梗阻 环状胰腺 肠旋转不良 十二指肠闭锁 

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