高频超声联合食管注水诊断新生儿食管闭锁  

Diagnosis of congenital esophageal atresia in neonates with high frequency ultrasound combined with esophageal filling

作　　者：段星星[1] 何静波[1] 李皓[1] 陈丽丽[1] 陈文娟[1] 

机构地区：[1]湖南省儿童医院超声科,长沙410007

出　　处：《中华超声影像学杂志》2017年第2期138-141,共4页Chinese Journal of Ultrasonography

摘　　要：目的评估高频超声联合食管注水对新生儿食管闭锁的诊断价值，为临床寻求一种新的诊断方法。方法对我院于2013年1月至2016年3月间收治的58例临床怀疑为食管闭锁的新生儿行消化道高频超声检查，以手术结果为金标准，总结超声诊断准确率及各型食管闭锁的超声表现。结果Ⅰ型食管闭锁7例，Ⅱ食管闭锁1例，Ⅲ型40例，Ⅳ型4例，Ⅴ型6例，食管闭锁超声提示率达96．55％，超声分型准确率达89．65％。结论高频超声联合食管注水对新生儿食管闭锁具有较高的诊断准确率，可以作为一种新的诊断方法，值得进一步研究与推广。Objective To investigate the diagnostic value of high frequency ultrasound combined with esophageal filling in neonates with congenital esophageal atresia. Methods Fifty-eight newborns who were suspected with congenital esophageal atresia underwent ultrasound, the surgical results considered as the ＂gold standard＂, then the ultrasound features of the congenital esophageal atresia were summarized. Results Seven cases were the type Ⅰ of the congenital esophageal atresia, 1 case belongs to type Ⅱ , 40 cases were considered as type Ⅲ , 4 cases were classified type Ⅳ and 6 cases were type Ⅴ , the diagnostic accuracy of ultrasound in congenital esophageal atresia was 96.55% and the classification accuracy was 89.65%. Conclusions High frequency ultrasound combined with esophageal filling has a high accuracy and can be used as a new diagnostic method in diagnosing neonates with congenital esophageal atresia, and it＇s worthy of further research and promotion.

关 键 词：超声检查 婴儿 新生 食管闭锁 

分 类 号：R445.1[医药卫生—影像医学与核医学] R722.1[医药卫生—诊断学]