胃肠超声充盈法对先天性小肠闭锁的诊断价值  

Value of gastrointestinal ultrasound combined with water instillation in diagnosing congenital small intestinal atresia

作　　者：彭娅 李佩岚 肖咏 徐香芬 刘金桥 PENG Ya;LI Peilan;XIAO Yong;XU Xiangfen;LIU Jinqiao(Department of Ultrasound,Affiliated Children’s Hospital of Xiangya School of Medicine of Central South University,Hunan Children’s Hospital,Changsha 410007,China;Department of Neonatal Surgery,Affiliated Children’s Hospital of Xiangya School of Medicine of Central South University,Hunan Children’s Hospital,Changsha 410007,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院/湖南省儿童医院超声科,湖南长沙410007 [2]中南大学湘雅医学院附属儿童医院/湖南省儿童医院新生儿外科,湖南长沙410007

出　　处：《中国中西医结合影像学杂志》2025年第2期249-252,共4页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：湖南省卫健委科研计划课题(20220923987)。

摘　　要：目的:探讨胃肠超声充盈法对新生儿先天性小肠闭锁的诊断价值。方法:收集104例先天性小肠闭锁患儿的临床资料,以手术结果为金标准,比较胃肠超声充盈法与消化道造影在诊断新生儿先天性小肠闭锁中的价值。结果:104例经手术确诊,十二指肠闭锁32例,空肠闭锁29例,回肠闭锁43例。胃肠超声充盈法准确诊断十二指肠闭锁26例,准确率为81.25%;上消化道造影准确诊断十二指肠闭锁19例,准确率为59.38%;2种检查方法差异有统计学意义(P<0.05)。胃肠超声充盈法准确诊断空回肠闭锁63例,准确率为87.50%;下消化道造影准确诊断空回肠闭锁55例,准确率为76.39%;2种检查方法差异有统计学意义(P<0.05)。结论:胃肠超声充盈法对先天性小肠闭锁有较高的诊断准确率,优于消化道造影,可作为小肠闭锁的首选检查方法。Objective:To investigate the diagnostic value of gastrointestinal ultrasound combined with water instillation in neonates with congenital small intestinal atresia.Methods:Clinical data of 104 neonates with congenital small intestinal atresia were collected and analyzed.The diagnostic efficiency was compared between gastrointestinal ultrasound combined with water instillation and gastrointestinal radiography,using surgical findings as the reference standard.Results:Among the 104 cases,there were 32 cases of duodenal atresia,29 cases of jejunal atresia,and 43 cases of ileal atresia.Gastrointestinal ultrasound combined with water instillation correctly diagnosed duodenal atresia in 26 cases(accuracy of 81.25%)and jejunileal atresia in 63 cases(87.50%),while upper gastrointestinal angiography correctly diagnosed duodenal atresia in 19 cases(59.38%)and jejunileal atresia in 55 cases(76.39%),the accuracies had statistical differences(both P<0.05).Conclusions:Gastrointestinal ultrasound combined with water instillation has a higher diagnostic accuracy for congenital small intestinal atresia,superior to gastrointestinal radiography,and can be considered as the preferred examination method for small intestinal atresia.

关 键 词：婴儿 新生 小肠闭锁 胃肠超声充盈法 消化道造影 诊断 

分 类 号：R73[医药卫生—肿瘤]