江西省某三甲儿童专科医院胃肠道淋巴瘤的超声诊断效能及其超声特点分析  

Ultrasonic Diagnostic Efficacy and Ultrasonic Characteristics of Gastrointestinal Lymphoma in a Three-A Tertiary Children's Specialized Hospital of Jiangxi Province

作　　者：袁玲凤 熊俊鹏 袁蔡晖 迟克强 徐灵均 YUAN Lingfeng;XIONG Junpeng;YUAN Caihui;CHI Keqiang;XU Lingjun(Department of Functional Examination,Jiangxi Children's Hospital,Nanchang 330038,China;Children's Hospital Affiliated to Nanchang Medical College,Nanchang 330038,China;Department of Radiology,Jiangxi Children's Hospital,Nanchang 330038,China;Department of Emergency Medicine,Jiangxi Children's Hospital,Nanchang 330038,China)

机构地区：[1]江西省儿童医院功能检查科,南昌330038 [2]南昌医学院附属儿童医院,南昌330038 [3]江西省儿童医院放射科,南昌330038 [4]江西省儿童医院急诊医学科,南昌330038

出　　处：《中国医药指南》2024年第30期29-31,共3页Guide of China Medicine

摘　　要：目的 探讨江西省某三甲儿童专科医院胃肠道淋巴瘤的超声诊断效能及其超声特点。方法 通过医院HIS系统及科研平台查询病历资料回顾性选取2020年6月至2024年2月我院收治的42例疑似胃肠道淋巴瘤患儿,所有患儿均行超声检查、CT及手术病理检查。以病理结果作为金标准,计算儿童胃肠道淋巴瘤分别在超声及CT诊断下的敏感性、特异性及准确性。采用Kappa分析超声及CT与手术病理检查结果的一致性,并分析其超声特点及联合诊断价值。结果 超声及CT诊断淋巴瘤的敏感性、特异性及准确性分别为(74.07%vs.66.67%、73.33%vs.80.00%、73.81%vs.71.43%)。超声及CT一致性检验的Kappa值分别为(0.45 vs.0.43),均为中等一致性。在纳入的病例中,共有20例超声检查与病理检查均诊断为淋巴瘤,超声特点为低回声包块、多发低回声包块、回声不均、血流信号丰富、边界清楚。B超与CT联合诊断下的敏感性、特异性、准确性及Kappa分别为81.48%、86.67%、83.33%及0.65。结论 超声检查对儿童胃肠道淋巴瘤的诊断效能类似于CT,可为该类疾病初筛的有效方法之一,其超声特点大多数为腹腔多发的低回声包块,多存在回声不均、血流丰富及边界清楚的特点,两者联合可提高诊断的效能。Objective To investigate the ultrasonic diagnostic efficacy and ultrasonic characteristics of gastrointestinal lymphoma in a three-A Tertiary children's specialized hospital of Jiangxi Province.Methods Forty-two children with suspected gastrointestinal lymphoma admitted to our hospital from June 2020 to February 2024 were retrospectively selected through the hospital's HIS system and scientific research platform to query medical records.All the children underwent ultrasound examination,CT examination and surgical pathology examination.The sensitivity,specificity and accuracy of ultrasonic and CT diagnosing of gastrointestinal lymphoma in children were calculated using pathological results as the gold standard.Kappa was used to analyze the consistency of ultrasound,CT and pathological examination results,and the ultrasonic characteristics were analyzed.Results The sensitivity,specificity and accuracy of ultrasound and CT were(74.07% vs.66.67%,73.33% vs.80.00%,73.81% vs.71.43%),respectively.The Kappa values of ultrasound and CT consistency tests were(0.45 vs.0.43),respectively,with medium consistency.Among the included cases,a total of 20 cases were diagnosed with lymphoma by ultrasonography and pathological examination,and the ultrasonic characteristics were hypoechoic mass,multiple hypoechoic mass,uneven echo,rich blood flow signal and clear boundary.The sensitivity,specificity,accuracy and Kappa of B-ultrason-ography combined with CT were 81.48%,86.67%,83.33% and 0.65,respectively.Conclusions The diagnostic efficacy of ultrasonography in children with gastrointestinal lymphoma is similar to that of CT,and it can be one of the effective methods for the preliminary screening of this disease.Most of the ultrasonic features of this disease are multiple hypoechoic masses in the abdominal cavity,mostly characterized by uneven echo,rich blood flow and clear boundary.The combination of the two tests can improve the efficiency of diagnosis.

关 键 词：儿童 淋巴瘤 超声 诊断效能 特点 分析 

分 类 号：R733.4[医药卫生—肿瘤] R729[医药卫生—临床医学]