超声连续节段扫查法对小儿消化道梗阻病因的诊断价值  

Etiological Diagnostic Value of Continuous Segment Ultrasound Scan in Children with Gastrointestinal Obstruction

作　　者：张茜 卫建辉[1] 江小迪 江楠[1] 徐海英[1] ZHANG Qian;WEI Jianhui;JIANG Xiaodi;JIANG Nan;XU Haiying(Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang 332001,China;不详)

机构地区：[1]江西省九江市妇幼保健院,江西九江332001

出　　处：《中国医学创新》2022年第31期147-150,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(20204249)。

摘　　要：目的:探讨超声连续节段扫查法对小儿消化道梗阻病因的诊断价值。方法:选取2020年1月-2022年2月九江市妇幼保健院收治的80例疑似消化道梗阻的患儿。所有患儿均行传统腹部超声平扫扫查及超声连续节段扫查。以术后诊断结果为金标准,比较两种扫查方法对消化道梗阻及各病因的敏感度、特异度、准确度、阳性预测值、阴性预测值。分析两种扫查方法与术后诊断结果的一致性;比较两种扫描方法对消化道梗阻病因的诊断符合率。结果:超声连续节段扫查法、超声平扫法分别显示消化道梗阻患儿共73例(91.25%)、52例(65.00%),敏感度分别为96.00%、66.67%,特异度为80.00%、60.00%,准确率为95.00%、66.25%,阳性预测值为98.63%、96.15%,阴性预测值为57.14%、10.71%;超声连续节段扫查法与术后诊断结果具有一致性(Kappa=0.640,P<0.05)超声连续节段扫查法对于肠旋转不良合并中肠扭转及、小肠闭锁及后天性肠梗阻诊断符合率均高于腹部超声平扫法(P<0.05)。结论:较传统腹部超声平扫法,超声节段扫查法对小儿消化道梗阻临床诊断价值更为显著,可准确鉴别诊断消化道梗阻病因,值得在临床推广使用。Objective:To investigate the etiological diagnostic value of continuous segment ultrasound scan in children with gastrointestinal obstruction.Method:A total of 80 children suspected of gastrointestinal obstruction who admitted to the Jiujiang maternal and Child Health Hospital from January 2020 to February 2022 were selected.All patients underwent traditional abdominal ultrasound plain scan and continuous segmental ultrasound scan.Postoperative diagnostic results were taken as the golden standard to compare the diagnostic sensitivity,specificity,accuracy,positive predictive value and negative predictive value between the two scanning methods for gastrointestinal obstruction and each cause.The consistency of the two scanning methods with postoperative diagnostic results was analyzed,and the diagnostic coincidence rate was compared between the two scanning methods.Result:Continuous segment ultrasound scan and ultrasound plain scand 73 (91.25%) and 52 (65.00%) children with gastrointestinal obstruction,respectively.The sensitivity,specificity,accuracy rates,positive predictive values and negative predictive values were 96.00% and 66.67%,80.00% and 60.00%,95.00% and 66.25%,98.63% and 96.15%,57.14% and 10.71%,respectively.The results of continuous segment ultrasound scan were consistent with postoperative diagnostic results (Kappa=0.640,P<0.05).The diagnostic coincidence rates of continuous segment ultrasound scan for intestinal malrotation complicated with volvulus and acquired intestinal obstruction were higher than those of abdominal ultrasound plain scan (P<0.05).Conclusion:Compared with traditional abdominal ultrasound plain scan,continuous segment ultrasound scan is more helpful for etiological diagnosis of gastrointestinal obstruction in children,and can accurately differentiate the causes of gastrointestinal obstruction,which is worthy of clinical application.

关 键 词：超声 连续节段扫查法 消化道梗阻 儿童 

分 类 号：R725.7[医药卫生—儿科]