腹部超声结合浅表超声对诊断小儿肠套叠的临床意义  

Clinical Significance of Abdominal Ultrasound and Superficial Ultrasound on the Diagnosis of Intussusception in Children

作　　者：李曼[1] LI Man(Department of Ultrasonic Shangqiu Municipal Hospital Affiliated to Henan University,Shangqiu 476000,Henan Province,China)

机构地区：[1]河南大学附属商丘市立医院超声科,河南商丘476000

出　　处：《罕少疾病杂志》2022年第8期80-81,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨腹部超声结合浅表超声对诊断小儿肠套叠的应用价值。方法选取2019年10月至2020年11月我院疑似肠套叠患儿86例,均行腹部超声、浅表超声诊断。以超声监测下水压灌肠结果为诊断“金标准”,统计行腹部超声、浅表超声诊断小儿肠套叠的诊断结果及诊断效能。结果本组86例疑似小儿肠套叠患者,经“金标准”诊断确诊阳性79例,阴性7例;采用腹部超声诊断出真阳性64例,真阴性6例;采用浅表超声诊断出真阳性57例,真阴性5例;二者联合诊断出真阳性75例,真阴性5例;采用二者联合诊断灵敏度94.94%(75/79)、准确度93.02%(80/86)较腹部超声81.01%(64/79)、81.40%(70/86)及浅表超声72.15%(57/79)、72.09%(62/86)高,漏诊率5.06%(4/79)较腹部超声18.99%(15/79)及浅表超声15.19%(12/79)低(P<0.05)。结论和腹部超声、浅表超声单独诊断相比,在诊断小儿肠套叠中采用腹部超声结合浅表超声诊断有利于提高诊断灵敏度、准确度,降低漏诊率,临床应用价值较高。Objective To explore the application value of abdominal ultrasound and superficial ultrasound in the diagnosis of intussusception in children.Methods Selected 86 children with suspected intussusception in our hospital from October 2019 to November 2020,were diagnosed with abdominal ultrasound and superficial ultrasound.Taking the result of water pressure irrigation under ultrasonic monitoring as the diagnosis"gold standard",the diagnosis results and diagnostic efficacy of abdominal ultrasound and superficial ultrasound were analyzed.Results 86 suspected pediatric intussusception in this group,79 cases diagnosed with"gold standard"positive,Negative for 7 cases;Positive 64 cases were diagnosed with abdominal ultrasound,True negative 6 cases;True positive were diagnosed for 57 cases using superficial ultrasound,True negative 5 cases;They jointly diagnosed 75 true positive cases,True negative 5 cases;A combined diagnostic sensitivity of 94.94%(75/79),accuracy of 93.02%(80/86)over 81.01%(64/79),81.40%(70/86)and superficial ultrasound 72.15%(57/79),72.09%(62/86),The missed rate of 5.06%(4/79)was lower than 18.99%(15/79)for abdominal ultrasound and 15.19%(12/79)(P<0.05).Conclusion Compared with separate diagnosis of abdominal ultrasound,superficial ultrasound diagnosis is beneficial to improving diagnosis sensitivity,accuracy and reducing leakage rate,and has high clinical application value.

关 键 词：肠套叠 腹部超声 浅表超声 小儿 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.7[医药卫生—诊断学]