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

doi:10.3877/cma.j.issn.2095-2015.2024.03.008

Abstract

Abstract:

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

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.

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References 16

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钡剂灌肠镜X线	腹部彩超		高频彩超		两者联合		合计
钡剂灌肠镜X线	阳性	阴性	阳性	阴性	阳性	阴性	合计
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

钡剂灌肠镜X线	腹部彩超		高频彩超		两者联合		合计
钡剂灌肠镜X线	阳性	阴性	阳性	阴性	阳性	阴性	合计
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

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
P^ab	0.001/0.006^*	0.021/0.345^*	<0.0001/0.002

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
P^ab	0.001/0.006^*	0.021/0.345^*	<0.0001/0.002

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