胃肠超声助显剂诊断新生儿环状胰腺的应用价值  

Application value of gastrointestinal ultrasound agent in the diagnosis of neonatal annular pancreas

作　　者：刘皎然 徐豪 彭龙 刘宏 王岩 LIU Jiaoran;XU Hao;PENG Long(Department of Ultrasound Diagnosis,980 Hospital of the PLA JLSF,Hebei,Shijiazhuang 050082,China)

机构地区：[1]中国人民解放军联勤保障部队第九八〇医院超声诊断科,石家庄市050082

出　　处：《河北医药》2024年第14期2140-2143,2147,共5页Hebei Medical Journal

摘　　要：目的探讨胃肠超声助显剂在诊断新生儿环状胰腺中的应用价值。方法对临床怀疑环状胰腺的55例新生儿行服用超声助显剂后超声检查及CT检查,对比2种检查方法检出率。结果55例新生儿中21例最终经手术诊断为环状胰腺。其中13例服用超声助显剂后超声检查和CT检查均诊断为环状胰腺;8例患儿CT检查未诊断环状胰腺,而服用超声助显剂后超声检查诊断为环状胰腺,并经手术证实;1例患儿CT诊断为环状胰腺,而服用助显剂后超声检查诊断为十二指肠闭锁,手术证实为十二指肠闭锁。本组病例CT和服用超声助显剂检查环状胰腺诊断率比较,差异有统计学意义(P<0.05)。服用胃肠超声助显剂超声检查环状胰腺效果更好。21例患儿服用胃肠超声助显剂后超声检查诊断为环状胰腺,声像图表现为胰头增大,向外延伸包绕十二指肠降部呈“钳夹”状,并于胰头实质内见均匀细点状助显剂回声,梗阻部位以上胃、十二指肠扩张。结论服用胃肠超声助显剂行超声检查诊断新生儿环状胰腺优于CT检查,且安全可靠。Objective To evaluate the value of gastrointestinal ultrasound agent in the diagnosis of neonatal annular pancreas.Methods A total of 55 neonates with clinically suspected annular pancreas were examined by computed tomography(CT) and ultrasonography after taking ultrasound agent,and the detection rates of the two methods were compared.Results Among the 55 neonates,21 were surgically diagnosed as annular pancreas.Among them,13 cases were diagnosed as annular pancreas by ultrasonography and CT after taking ultrasound agent.The annular pancreas was not diagnosed by CT in 8 children,but it was diagnosed by ultrasound after taking ultrasound agent and surgically confirmed.One patient was diagnosed as annular pancreas by CT,and duodenal atresia was diagnosed by ultrasonography after taking ultrasound agent and surgically confirmed.There was a significant difference in the diagnostic rate between CT and ultrasonography after taking ultrasound agent(P<0.05).Taking gastrointestinal ultrasound agent favored the examination of the annular pancreas.Twenty-one children were diagnosed as annular pancreas after administration of gastrointestinal ultrasound agent,showing an enlargement of the pancreatic head,clamp-like extension around the descending duodenum,even fine dot-like echo in the parenchyma of the pancreatic head,and dilation of the stomach and duodenum superior to the obstructed site.Conclusion Taking gastrointestinal ultrasound agent for ultrasound diagnosis of neonatal annular pancreas is better than CT examination,and it is safe and reliable.

关 键 词：超声检查 新生儿 环状胰腺 CT 

分 类 号：R725.76[医药卫生—儿科]