口服胃肠造影剂后超声在筛查小儿上消化道疾病中的应用研究  

Research on ultrasound screening applied in pediatric upper gastrointestinal disease after oral administration of gastrointestinal contrast agent

作　　者：刘勇 

机构地区：[1]海南省儋州市农垦那大医院超声科,571700

出　　处：《现代消化及介入诊疗》2015年第1期16-18,共3页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的研究口服胃肠造影剂后超声筛查对小儿上消化道疾病的临床诊断价值。方法采用对照研究的方式对2012年11月至2014年11月门诊收治的120例上消化道疾病患儿进行研究,根据超声检查时是否口服胃肠造影剂将其分为对照组和研究组,每组60例,对照组患儿未口服胃肠造影剂,研究组口服胃肠造影剂,对比分析两组患儿确诊率、误诊率以及漏诊率。结果两组患儿在胃溃疡、胃炎、十二指肠溃疡、十二指肠炎等疾病的检出率比较上χ2=4.71、4.64、3.88、7.64,在其诊断准确率的比较上χ2=38.85、5.61、55.82、64.49;P<0.05,差异具有统计学意义。结论 1胃肠超声检查无创、操作简单、安全性高,可作为临床对小儿上消化道疾病确诊的首选辅助检查方式。2胃肠造影剂有效促进胃肠道气体的排出,对胃壁结构显示清晰,提高胃壁增厚的敏感性,同时对胃肠周围组织结构显示清晰,有效提高疾病确诊率。Objective This paper is to discuss clinical diagnostic value of ultrasound screening on pedi- atric upper gastrointestinal tract disease of oral administration of gastrointestinal contrast ultrasound agent. Methods The method of control study was applied to study 120 patients with upper gastrointestinal tract dis- eases admitted by Out-patient Service from November, 2012 to November. 2014, patients were divided into the control group and the research group with 60 cases in each group according the availability of oral admin- istration of gastrointestinal contrast agent during ultrasonic examination, patients in the control group didn＇t o- rally administrate gastrointestinal contrast agent, and patients in the research group orally administered gas- trointestinal contrast agent, the definitive diagnosis rate, misdiagnosis rate, and rate of missed diagnosis of pa- tients in two groups were compared and analyzed. Results The comparison in the detection rates of gastric ul- cer, gastritis, duodenal ulcer and duodenitis satisfied χ^2 = 4.71,4.64,3.88,7.64,respectively, and the compar- isons in diagnostic accuracy satisfied χ^2= 38.85, 5.61, 55.82 and 64.49（P 〈 0.05）, the differences were statisti- cally significant. Conclusions ① Noninvasive gastrointestinal ultrasound is provided with simple operation and high safety, and it may be used as clinically preferred way of auxiliary examination in the diagnosis of pe- diatric upper gastrointestinal disease. ② The gastrointestinal contrast agent effectively promotes the discharge of gastrointestinal gas, the structure of the stomach wall was shown clearly, the sensitivity of the stomach wall thickening was improved, and tile structure of gastrointestinal tissue was clearly shown improving the definitive diagnosis rate of diseases.

关 键 词：胃肠造影剂 超声筛查 小儿上消化道疾病 临床诊断 

分 类 号：R573[医药卫生—消化系统]