先天性肠旋转不良患者彩色多普勒超声及X线诊断比较  

Diagnosis comparison between color Doppler flowing imaging and X-ray on patients with congenital intestinal malrotation

作　　者：王海燕 杜莉娟 霍亚玲[2] 

机构地区：[1]河南省直第三人民医院超声科,河南郑州450006 [2]郑州市儿童医院超声科,河南郑州450053

出　　处：《新乡医学院学报》2015年第6期561-562,共2页Journal of Xinxiang Medical University

摘　　要：目的通过与上消化道造影的对比分析,探讨彩色多普勒超声对小儿肠旋转不良的诊断价值。方法回顾性分析河南省直第三人民医院及郑州市儿童医院2008年1月至2013年12月经手术证实的小儿肠旋转不良患儿35例的彩色多普勒超声和X线诊断情况。结果手术证实的35例肠旋转不良患儿中,经彩色多普勒超声确诊32例,漏诊3例;经X线造影确诊30例,漏诊5例;经2种方法联合应用,35例患者均得到确诊。彩色多普勒超声可清晰显示十二指肠上动脉与十二指肠上静脉的位置关系,而X线消化道造影能更直观地显示胃肠道的形态及肠管位置关系。结论彩色多普勒超声和X线消化道造影均具有典型的影像学特征,二者联合检查可为临床诊断小儿肠旋转不良提供可靠的影像学依据。Objective To explore the value of color Doppler flow imaging（ CDFI） in the diagnosis of pediatric intestinal malrotation through the comparative analysis with upper gastrointestinal imaging. Methods A retrospective analysis was made to 35 cases of children with pediatric intestinal malrotation confirmed by surgery in the Third People＇s Hospital of Henan Province and Children＇s Hospital of Zhengzhou City between January 2008 and December 2013. The CDFI and X-ray diagnoses of these cases were analyzed. Results For the 35 cases of children with pediatric intestinal malrotation confirmed by surgery,when CDFI was used,32 cases were diagnosed and 3 cases were missed;By X-ray angiography,30 cases were diagnosed and 5cases were missed;And when CDFI and X-ray radiography were combined to diagnose,all the 35 cases were confirmed. The positional relation between duodenal artery and duodenum vein could be showed clearly by CDFI. The morphology of gastrointestinal tract and positional relations of intestines could be displayed more intuitively by X-ray radiography of digestive tract. Conclusion Both X-ray imaging of digestive tract and CDFI have typical imaging features. The joint inspection of them can provide reliable imaging basis for the clinical diagnosis of intestinal malrotation in children.

关 键 词：先天性肠旋转不良 彩色多普勒超声 X线 

分 类 号：R455.1[医药卫生—运动医学]