探讨彩色多普勒超声与MSCT在小儿非外伤性急腹症中的临床应用价值  

Clinical Application Value of Color Doppler Ultrasonography and MSCT in Non-traumatic Acute Abdomen in Children

作　　者：王小飞[1] 魏思文 张增俊[1] 乔旭东 尹淑丹 WANG Xiao-fei;WEI Si-wen;ZHANG Zeng-jun(Department of Radiology,Xi'an Children's Hospital,Xi'an 710003,Shaanxi Province,China)

机构地区：[1]陕西省西安市儿童医院,陕西西安710003 [2]陕西省西安市第九医院,陕西西安710003 [3]陕西省西安市第四医院,陕西西安710003

出　　处：《中国CT和MRI杂志》2020年第7期137-139,共3页Chinese Journal of CT and MRI

基　　金：陕西省社会发展攻关计划项目(2016SF-216)。

摘　　要：目的探讨彩色多普勒超声与MSCT在小儿非外伤性急腹症中的临床应用价值。方法取本院2018年1月至2019年3月收治的90例小儿非外伤性急腹症患儿,收集患者临床及影像学资料。将MSCT检查和彩色多普勒超声检查的诊断结果进行讨论和分析;对比经MSCT检查和彩色多普勒超声对小儿非外伤性急腹症的诊断准确度、敏感度和特异度。结果经彩色多普勒超声检查对小儿非外伤性急腹症的诊断灵敏度、特异度和准确度分别为67.78%、70.00%、74.44%,MSCT检查对小儿非外伤性急腹症的诊断灵敏度、特异度和准确度分别为88.89%、91.11%、87.89%。MSCT检查对小儿非外伤性急腹症的诊断灵敏度、特异度和准确度明显高于彩色多普勒超声检查。两者比较差异有统计学意义(P<0.05)。结论彩色多普勒超声和MSCT检查均可有效的显示小儿非外伤性急腹症的影像学特点,但MSCT检查鉴别诊断小儿非外伤性急腹症的能力优于彩色多普勒超声。Objective To explore the clinical application value of color Doppler ultrasonography and MSCT in non-traumatic acute abdomen in children. Methods 90 children with non-traumatic acute abdomen admitted to our hospital from January 2018 to March 2019 were enrolled. Clinical and imaging data were collected. The diagnostic results of MSCT examination and color Doppler ultrasonography were discussed and analyzed. The accuracy, sensitivity and specificity of MSCT and color Doppler ultrasonography in the diagnosis of non-traumatic acute abdomen in children were compared. Results The sensitivity, specificity and accuracy of color Doppler ultrasonography in the diagnosis of non-traumatic acute abdomen in children were 67.78%, 70.00%, and 74.44%, respectively. The sensitivity, specificity and sensitivity of MSCT in the diagnosis of nontraumatic acute abdomen in children were 88.89%, 91.11%, and 87.89%, respectively. The sensitivity, specificity and accuracy of MSCT examination in the diagnosis of nontraumatic acute abdomen in children were significantly higher than those of color Doppler ultrasonography. The difference between the two was statistically significant(P<0.05). Conclusion Both color Doppler ultrasonography and MSCT examination can effectively show the imaging features of non-traumatic acute abdomen in children, but the ability of MSCT to diagnose non-traumatic acute abdomen in children is superior to that of color Doppler ultrasonography.

关 键 词：彩色多普勒超声 多层螺旋CT 小儿 非外伤性急腹症 

分 类 号：R445.3[医药卫生—影像医学与核医学] R572[医药卫生—诊断学]