对比实时超声与核素显像诊断儿童美克尔憩室  

Comparison of real-time ultrasound and radionuclide imaging for Meckel’s diverticulum in children

作　　者：贺雪华 邹德环[2] 王红英 关步云 朱莉玲 王娜 HE Xuehua;ZOU Dehuan;WANG Hongying;GUAN Buyun;ZHU Liling;WANG Na(Department of Ultrasonography,Guangzhou Women and Children's Medical Center,Guangzhou 510120,China;Deparment of Nuclear Medicine,Guangzhou First People's Hospital,Guangzhou 510180,China)

机构地区：[1]广州市妇女儿童医疗中心超声科,广东广州510120 [2]广州市第一人民医院核医学科,广东广州510180

出　　处：《中国医学影像技术》2019年第7期1065-1068,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的对比观察实时超声与核素显像诊断儿童美克尔憩室的价值。方法收集临床拟诊为美克尔憩室或因其并发症而接受外科手术治疗的156例患儿,行实时超声检查和99Tc^m -高锝酸盐腹部平面显像。以手术病理结果作为金标准,比较两种检查方法的诊断价值。结果 156例中,105例经病理检查证实为美克尔憩室。超声诊断美克尔憩室的敏感度、特异度和准确率为87.62%(92/105)、88.24%(45/51)和87.82%(137/156),核素显像为71.43%(75/105)、72.55%(37/51)和71.79%(112/156),超声均高于核素显像。结论超声诊断儿童美克尔憩室及其并发症准确率较高,可作为临床诊断美克尔憩室的首选辅助方法。Objective To explore the value of real-time ultrasound and 99 Tc^m -pertechnetate scintigraphy for diagnosis of Meckel's diverticulum (MD) in children.Methods Totally 156 children with clinically diagnosed MD or complications and then treated with surgical operations were enrolled.Real-time ultrasound examination and 99 Tc^m -pertechnetate scintigraphy were performed before operation.Taking surgical pathological results as gold standards,the diagnostic efficacies of these two methods were compared.Results MD was diagnosed in 105 children after operation.The sensitivity,specificity and accuracy of ultrasound for MD was 87.62%(92/105),88.24%(45/51) and 87.82%(137/156),while of 99 Tc^m -pertechnetate scintigraphy was 71.43%(75/105),72.55%(37/51) and 71.79%(112/156),respectively.The sensitivity,specificity and accuracy of ultrasound were all higher than those of 99 Tc^m -pertechnetate scintigraphy in diagnosis of MD.Conclusion Real-time ultrasound can effectively diagnose MD and complications,which can be used as the preferred auxiliary diagnostic method for clinic.

关 键 词：美克尔憩室 99Tc^m-高锝酸盐 儿童 超声检查 放射性核素显像 

分 类 号：R737.9[医药卫生—肿瘤] R445.2[医药卫生—临床医学]