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中华消化病与影像杂志(电子版)

中华消化病与影像杂志(电子版) ›› 2024, Vol. 14 ›› Issue (03) : 226 -228. doi: 10.3877/cma.j.issn.2095-2015.2024.03.008

论著

腹部彩超联合高频彩超用于小儿肠套叠诊断经验及价值
汪久宏1,†(), 丁莉1, 梁丽1   
  1. 1. 244099　安徽省，铜陵市第四人民医院（铜陵市妇幼保健院）超声科
  • 收稿日期:2024-02-03 出版日期:2024-06-01
  • 通信作者: 汪久宏

Diagnostic value and experience of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception

Jiuhong Wang1,†(), Li Ding1, Li Liang1   

  1. 1. Department of Ultrasonography, Tongling Fourth People's Hospital (Tongling Maternal and Child Health Hospital), Tongling 244099, China
  • Received:2024-02-03 Published:2024-06-01
  • Corresponding author: Jiuhong Wang
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汪久宏, 丁莉, 梁丽. 腹部彩超联合高频彩超用于小儿肠套叠诊断经验及价值[J]. 中华消化病与影像杂志(电子版), 2024, 14(03): 226-228.

Jiuhong Wang, Li Ding, Li Liang. Diagnostic value and experience of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2024, 14(03): 226-228.

目的

探讨腹部彩超联合高频彩超用于小儿肠套叠诊断价值及经验。

方法

回顾性纳入2021年1月至2023年12月于铜陵市第四人民医院就诊的可疑肠套叠患儿93例，均行腹部彩超及高频彩超检查，比较两种检查方式单用及联合用于小儿肠套叠诊断检出情况及临床效能。

结果

93例可疑肠套叠患儿经钡剂灌肠镜X线确诊阳性68例，阴性25例，检出率为73.12%；其中阴性患儿疾病包括肠炎20例，急性阑尾炎3例，腹泻1例，过敏性紫癜1例。腹部彩超联合高频彩超用于小儿肠套叠检出率、诊断灵敏度、特异度及准确度均显著高于两种检查方式单用（P<0.05）。

结论

腹部彩超联合高频彩超用于小儿肠套叠诊断可有效改善检出效能，提高诊断灵敏度、特异度及准确度。

关键词: 肠套叠, 彩色多普勒超声, 高频, 儿童, 诊断
Objective

To investigate the diagnostic value and experience of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception.

Methods

A total of 93 children with suspected intussusception admitted to Tongling Fourth People's Hospital from January 2021 to December 2023 were retrospectively included, all of whom underwent abdominal color ultrasound and high-frequency color ultrasound. The detection rate and clinical efficacy of two methods for the diagnosis of intussusception in children alone and in combination were compared.

Results

In 93 children with suspected intussusception, 68 cases were positive and 25 cases were negative by barium colonoscopy X-ray, and the detection rate was 73.12%. The negative diseases included enteritis in 20 cases, acute appendicitis in 3 cases, diarrhea in 1 case and anaphylactoid purpura in 1 case. The detection rate, diagnostic sensitivity, specificity and accuracy of abdominal color ultrasound combined with high-frequency color ultrasound in children with intussusception were significantly higher than those of the two methods alone (P<0.05).

Conclusion

Abdominal color ultrasound combined with high frequency color ultrasound can effectively improve the detection efficiency, sensitivity, specificity and accuracy of the diagnosis of intussusception in children.

Key words: Intussusception, Color Doppler ultrasound, High-frequency, Children, Diagnosis
表1 两种检查用于小儿肠套叠诊断检出情况比较（例）
钡剂灌肠镜X线 腹部彩超 高频彩超 两者联合 合计
阳性 阴性 阳性 阴性 阳性 阴性
阳性 58 10 60 8 68 0 68
阴性 7 18 4 21 1 24 25
合计 65 28 64 29 69 24 93
表2 两种检查用于小儿肠套叠诊断效能比较（%）
检查方式 灵敏度 特异度 准确度
腹部彩超 85.29(58/68) 72.00(18/25) 81.72(76/93)
高频彩超 88.24(60/68) 84.00(21/25) 87.10(81/93)
两者联合 100.00(68/68) 96.00(24/25) 98.92(92/93)
χ2 10.794 5.357 15.746/10.007
Pab 0.001/0.006* 0.021/0.345* <0.0001/0.002
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