直肠水囊腹部超声检查在婴幼儿盆腔检查中的应用  

Application of abdominal ultrasound with rectal water sac in infantile pelvic examination

作　　者：易靖佳 王琼 彭红玲 李丽竹 严嘉 YI Jing-jia;WANG Qiong;PENG Hong-ling;LI Li-zhu;YAN Jia(Department of Ultrasound,Pingxiang Maternal and Child Health Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市妇幼保健院超声科,江西萍乡337000

出　　处：《中国当代医药》2020年第33期150-153,共4页China Modern Medicine

基　　金：江西省萍乡市科技计划项目(2018PY087)。

摘　　要：目的探讨直肠水囊腹部超声检查在婴幼儿盆腔检查中的应用价值。方法回顾性分析2018年5月~2020年3月于萍乡市妇幼保健院接受超声检查的50例女性婴幼儿资料,所有患儿均先后接受常规腹部超声检查和直肠水囊腹部超声检查。以随访及血清学检查辅助诊断结果为金标准,比较两种检查方式的检出情况。结果常规腹部超声检查时卵巢及子宫影像显示不够清晰,而直肠水囊经腹部超声检查能更清晰地显示患儿子宫及卵巢结构。直肠水囊经腹部超声诊断子宫、卵巢以及腹部肠管的显示率为92.00%(46/50),高于常规腹部超声的62.00%(31/50),差异有统计学意义(P<0.05);直肠水囊腹部超声诊断的总符合率(90.00%)高于常规腹部超声(28.00%),差异有统计学意义(P<0.05)。结论与常规腹部超声比较,直肠水囊腹部超声检查时能更清晰地显示子宫和卵巢结构,利于提升婴幼儿盆腔检查准确率,为婴幼儿盆腔疾病诊断提供新的选择,为临床选择治疗方案提供指导依据。Objective To investigate the application value of abdominal ultrasound with rectal water sac in infantile pelvic examination.Methods The data of 50 female infants who underwent ultrasound examination in Pingxiang Maternal and Child Health Hospital from May 2018 to November 2019 were retrospectively analyzed.All children underwent conventional abdominal ultrasound examination and abdominal ultrasound examination with rectal water sac.The results of follow-up and serological examination assisted diagnosis were taken as the gold standard,the detection condition of two inspection methods was compared.Results The images of the ovaries and uterus during routine abdominal ultrasound examination were not clear enough,the transabdominal ultrasound with rectal water sac examination could more clearly show the structure of the uterus and ovaries of children.The display rate of abdominal ultrasound with rectal water sac in the diagnosis of uterus,ovaries and abdominal intestines was 92.00%(46/50),which was higher than the 62.00%(31/50)of conventional abdominal ultrasound,and the difference was statistically significant(P<0.05).The total coincidence rate of abdominal ultrasound with rectal water sac(90.00%)was higher than that of conventional abdominal ultrasound(28.00%),and the difference was statistically significant(P<0.05).Conclusion Compared with conventional abdominal ultrasound,abdominal ultrasound with rectal water sac can clearly show the uterine and ovarian structure,improve the accuracy of infantile pelvic examination,provide new options for the diagnosis of pelvic diseases in infants and young children,which provides guidance for the choice of clinical treatment plans.

关 键 词：婴幼儿盆腔检查 直肠水囊腹部超声检查 超声表现 显示率 

分 类 号：R445.1[医药卫生—影像医学与核医学]