小儿十二指肠梗阻性疾病应用超声检查的诊断效果研究(1)
[摘要] 目的 研究小兒十二指肠梗阻性疾病应用超声检查法的效果。方法 随机选择2016年3月—2018月2月该院接诊且经手术证实的十二指肠梗阻性疾病患儿100例，对所有患儿都施以术前超声检查。以患儿手术病理检查的结果作为参考，综合分析该组术前超声检查的结果，并计算出诊断准确率，充分了解超声检查法在小儿十二指梗阻性疾病中的应用价值。 结果 该组100例患儿术前都有不同程度的呕吐等症状，超声影像学检查提示：胃-梗阻近端的肠腔显著扩张积液，少数肠壁增厚，梗阻远端的肠管存在充盈差，部分为空瘪状态。经术前超声检查提示，有86例明确为十二指肠梗阻性疾病，包含45例肠旋转不良、14例十二指肠膜式闭锁以及27例环状胰腺等，上述3种病变的超声符合率依次是91.84%、73.68%、84.38%。该组超声诊断的准确率达到86.0%。 结论 积极利用超声检查法对十二指肠梗阻性疾病患儿进行诊断，能够为临床医师判断患儿的病情和梗阻部位提供重要参考，并且，超声检查法还具有无创、操作简单、实时以及无辐射等特点，建议在临床上进行大范围的推广和使用。
[关键词] 超声检查；诊断效果；十二指肠梗阻性疾病；小儿
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)07(b)-0184-03
Study on the Diagnostic Effect of Ultrasonography in Children with Duodenal Obstruction Disease
WANG Dong-bing1， WU Hai-yun2
1.Department of Ultrasound， the Third People’s Hospital of Linyi， Linyi， Shandong Province， 276023 China； 2.Department of Ultrasound， Junan County People's Hospital， Junan， Shandong Province， 276600 China
[Abstract] Objective To study the effect of ultrasound on the diagnosis of duodenal obstruction in children. Methods A total of 100 children with duodenal obstructive disease who were admitted to the hospital from March 2016 to February 2018 and had been confirmed by surgery were random selected. All patients were subjected to preoperative ultrasound examination. Taking the results of surgical pathological examination as a reference， the results of the preoperative ultrasound examination in this group were comprehensively analyzed， and the diagnostic accuracy was calculated to fully understand the application value of the ultrasound examination in children with obstructive diseases. Results 100 cases of children in this group had various symptoms such as vomiting before surgery. Ultrasound imaging showed that the intestinal lumen in the proximal part of gastric-obstruction was significantly dilated， some of the intestinal wall was thickened， and the distal intestinal tract was obstructed. Poor filling， part of the open state. Preoperative ultrasound examination showed that 86 cases were diagnosed with duodenal obstruction disease， including 45 cases of intestinal malrotation， 14 cases of duodenal membrane atresia， and 27 cases of annular pancreas， etc. The coincidence rates were 91.84%， 73.68%， and 84.38%， respectively. The accuracy of ultrasound diagnosis in this group reached 86.0%. Conclusion The active use of ultrasound to diagnose children with duodenal obstruction disease can provide important reference for clinicians to judge the condition and location of the obstruction in children. Furthermore， ultrasound examination is also non-invasive， easy to use， and real-time. No radiation and other characteristics， it is recommended to carry out a wide range of clinical promotion and use., http://www.100md.com(王冬冰 吴海云)
[关键词] 超声检查；诊断效果；十二指肠梗阻性疾病；小儿
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)07(b)-0184-03
Study on the Diagnostic Effect of Ultrasonography in Children with Duodenal Obstruction Disease
WANG Dong-bing1， WU Hai-yun2
1.Department of Ultrasound， the Third People’s Hospital of Linyi， Linyi， Shandong Province， 276023 China； 2.Department of Ultrasound， Junan County People's Hospital， Junan， Shandong Province， 276600 China
[Abstract] Objective To study the effect of ultrasound on the diagnosis of duodenal obstruction in children. Methods A total of 100 children with duodenal obstructive disease who were admitted to the hospital from March 2016 to February 2018 and had been confirmed by surgery were random selected. All patients were subjected to preoperative ultrasound examination. Taking the results of surgical pathological examination as a reference， the results of the preoperative ultrasound examination in this group were comprehensively analyzed， and the diagnostic accuracy was calculated to fully understand the application value of the ultrasound examination in children with obstructive diseases. Results 100 cases of children in this group had various symptoms such as vomiting before surgery. Ultrasound imaging showed that the intestinal lumen in the proximal part of gastric-obstruction was significantly dilated， some of the intestinal wall was thickened， and the distal intestinal tract was obstructed. Poor filling， part of the open state. Preoperative ultrasound examination showed that 86 cases were diagnosed with duodenal obstruction disease， including 45 cases of intestinal malrotation， 14 cases of duodenal membrane atresia， and 27 cases of annular pancreas， etc. The coincidence rates were 91.84%， 73.68%， and 84.38%， respectively. The accuracy of ultrasound diagnosis in this group reached 86.0%. Conclusion The active use of ultrasound to diagnose children with duodenal obstruction disease can provide important reference for clinicians to judge the condition and location of the obstruction in children. Furthermore， ultrasound examination is also non-invasive， easy to use， and real-time. No radiation and other characteristics， it is recommended to carry out a wide range of clinical promotion and use., http://www.100md.com(王冬冰 吴海云)