经腹壁超声与MSCT对小儿肾病综合征的诊断价值分析  

Diagnostic Value of Transabdominal Ultrasonography and MSCT in Children with Nephrotic Syndrome

作　　者：张惠[1] 刘静[2] ZHANG Hui;LIU Jing(Department of Ultrasound,General Hospital of Ningxia Medical University,Yinchuan 750001,China;Department of Pediatrics,General Hospital of Ningxia Medical University,Yinchuan 750001,China)

机构地区：[1]宁夏医科大学总医院超声科,宁夏银川750001 [2]宁夏医科大学总医院儿科,宁夏银川750001

出　　处：《甘肃科学学报》2023年第3期13-17,共5页Journal of Gansu Sciences

基　　金：宁夏自然科学基金项目“Cosmc异常表达在过敏性紫癜肾脏损害进展中的机制研究”(2019AAC03186)。

摘　　要：探讨经腹壁超声与多层螺旋CT(MSCT)检查在诊断小儿肾病综合征(NS)及肾功能评估中的应用价值。选取宁夏医科大学总医院2018年1月—2020年12月收治的肾病综合征患儿84例为研究对象,所有患儿均行经腹壁超声、MSCT检查,对比分析经腹壁超声与MSCT在诊断小儿NS及评估其肾功能中的应用价值。结果发现:经腹壁超声检查对小儿NS诊断的准确性、敏感性与特异性分别为85.71%、82.14%、83.33%;MSCT对小儿NS诊断的准确性、敏感性与特异性分别为89.29%、86.90%、88.10%;MSCT检查对小儿NS的诊断准确性、敏感性与特异性均高于经腹壁超声,但差异无统计学意义(P>0.05);小儿NS左右肾经腹壁超声测量值、MSCT检查结果对比差异均无统计学意义(P>0.05)。研究提示经腹壁超声在诊断小儿NS及肾功能评估中可有效显示小儿NS的影像学特点,在鉴别诊断和肾功能定量分析方面与MSCT相当,临床诊断小儿NS应结合患儿自身情况合理选择检查手段。The purpose of this paper is to investigate the value of transabdominal ultrasonography in diagnosis of pediatric nephrotic syndrome(NS)and renal function evaluation.A total of 84 children with nephrotic syndrome admitted to General Hospital of Ningxia Medical University from January 2018 to December 2020 were selected as the study subjects.All children need recieve transabdominal ultrasonography and MSCT examination,then the application value of transabdominal ultrasonography and MSCT in the diagnosis of pediatric NS and evaluation of renal function was compared and analyzed.The results showed that the diagnostic accuracy,sensitivity and specificity of transabdominal ultrasonography for children NS were 85.71%,82.14%and 83.33%,respectively.The diagnostic accuracy,sensitivity and specificity of MSCT for children NS were 89.29%,86.90%and 88.10%,respectively.The diagnostic accuracy,sensitivity and specificity of MSCT in children with NS were higher than those of transabdominal ultrasonography,but the difference was not statistically significant(P>0.05).There was no statistical significance in the measured values of left and right renal transabdominal wall ultrasound and MSCT results of NS in children(P>0.05).This study suggests that transabdominal ultrasound has an important application value in the diagnosis of NS in children and the evaluation of renal function,which could effectively show the imaging characteristics of NS in children,and is comparable to MSCT in differential diagnosis and quantitative analysis of renal function.Therefore,the clinical diagnosis of NS in children should be rationally selected according to the situation of children.

关 键 词：经腹壁超声 多层螺旋CT 小儿肾病综合征 肾功能 诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R692.2[医药卫生—诊断学]