超声联合注水法在婴幼儿上消化道梗阻中的诊断价值  

The Diagnostic Value of Ultrasound Combined with Water Injection in Infants with Upper Gastrointestinal Obstruction

作　　者：杨淑梅 田晖[2] 吕瑱龙 李向蕊 Yang Shumei;Tian Hui;Lyu Zhenlong;Li Xiangrui(Department of Ultrasound,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou,Hebei 061000,China;Department of Ultrasound,The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Imaging,Cangzhou Central Hospital,Cangzhou,Hebei 061000,China;Department of Ultrasound,Affiliated Hospital of Hebei University,Baoding,Hebei 071000,China)

机构地区：[1]沧州中西医结合医院超声科,河北省沧州市061000 [2]河北医科大学第二医院超声科,石家庄市050000 [3]沧州中心医院影像科,河北省沧州市061000 [4]河北大学附属医院超声科,河北省保定市071000

出　　处：《中国超声医学杂志》2024年第8期905-908,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声联合注水法在婴幼儿上消化道梗阻疾病中的诊断价值。方法收集经手术确诊为上消化道梗阻的婴幼儿134例,患儿均行超声联合注水法、上消化道造影,比较不同检查方法的诊断准确度。结果经手术证实的134例患儿中116例为近端梗阻,18例为远端梗阻。其中先天性肥厚性幽门狭窄52例;环形胰腺18例;十二指肠狭窄10例;十二指肠隔膜11例;十二指肠闭锁9例;肠旋转不良34例。在评估上消化道梗阻水平方面,超声联合注水法的诊断准确度及灵敏度显著高于上消化道造影,两组比较差异均有统计学意义(P<0.05)。结论超声联合注水法可视为诊断和排除婴幼儿上消化道梗阻的首选方法。Objective To investigate the diagnostic value of ultrasound combined with water injection in infants with upper gastrointestinal obstructive diseases.Methods A total of 134 infants diagnosed with upper gastrointestinal obstruction by surgery were retrospectively selected.All the children underwent ultrasound combined with water injection and upper gastrointestinal imaging(UGI).The diagnostic accuracy of different examination methods were compared.Results In the 134 infants which were confirmed by surgery,116 cases were proximal obstruction and 18 cases were distal obstruction.There were 52 cases of congenital hypertrophic pyloric stenosis,18 cases of annular pancreas,10 cases of duodenal stenosis,11 cases of duodenal septum,9 cases of duodenal atresia,and 34 cases of intestinal malrotation.In evaluating the level of upper gastrointestinal obstruction,the diagnostic accuracy and sensitivity of ultrasound combined with water injection were significantly higher than those of UGI(P<0.05).Conclusions Ultrasound combined with water injection can be regarded as the first choice for the diagnosis and exclusion of upper gastrointestinal obstruction in infants.

关 键 词：超声 注水 婴幼儿 上消化道梗阻 

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]