放射诊断技术在小儿肠套叠中的运用  

Application of Radiological Diagnosis Technology in Intussusception of Children

作　　者：何勇[1] HE Yong(Yuxi People's Hospital,Yuxi,Yunnan 653100,China)

机构地区：[1]玉溪市人民医院,云南玉溪653100

出　　处：《大医生》2020年第18期127-128,共2页Doctor

摘　　要：目的研究分析放射诊断技术在小儿肠套叠中的运用。方法选取2018年1月至12月玉溪市人民医院收治的肠套叠患儿150例,均予以螺旋CT检查及钡剂造影检查,比较两种检查方法的诊断符合度及患儿配合度。结果在采用螺旋CT诊断小儿肠套叠中,以钡剂造影结果为金标准,结果显示钡剂造影检查阳性92例,阴性58例,CT检查阳性84例,阴性66例。本研究显示在采用螺旋CT诊断小儿肠套叠中,灵敏度为82.61%,特异度为86.21%,阳性预测值为90.48%,阴性预测值为75.76%。两种检查方法耗时比较,螺旋CT较钡剂灌肠所耗费的时间短,在配合度方面,螺旋CT较钡剂灌肠配合度高,差异有统计学意义(P<0.05)。结论螺旋CT对于小儿肠套叠诊断的特异性和灵敏度较高,且可以减少检查时间,提高患儿的配合度。Objective To study and analyze the application of radiation diagnosis technology in pediatric intussusception.Methods A total of 150 children with intussusception admitted to Yuxi People's Hospital from January to December 2018 were selected.All patients were examined by spiral CT and barium radiography.The diagnostic coincidence and children's coordination of the two methods were compared.Results In the diagnosis of infantile intussusception with spiral CT,the results showed that barium radiography was positive in 92 cases,negative in 58 cases,CT in 84 cases and negative in 66 cases.The sensitivity,specificity,positive predictive value and negative predictive value were 82.61%,86.21%,90.48%and 75.76%,respectively.Compared with barium enema,spiral CT had shorter time than barium enema.In terms of coordination degree,spiral CT was higher than barium enema,and the difference was statistically significant(P<0.05).Conclusion Spiral CT has high specificity and sensitivity in the diagnosis of intussusception in children,and can reduce the examination time and improve the cooperation degree of children.

关 键 词：小儿肠套叠 螺旋CT 钡剂造影 放射诊断 

分 类 号：R72[医药卫生—儿科]