摘要
目的探析超声造影在小儿先天性巨结肠诊断中的应用效果。方法回顾性分析2019年7月至2022年8月东莞市第八人民医院30例手术确诊为先天性巨结肠患儿,所有患儿均采取超声造影检查与X线检查,分析检查结果。结果诊断准确率方面,X线检查准确率66.67%(20/30,漏诊10例,其中8例是超短段型,另2例为升结肠局灶型),超声造影检查准确率93.33%(28/30,漏诊2例为升结肠局灶型),超声造影准确率显著高于X线检查(P<0.05)。典型先天性巨结肠患者,根据巨结肠长短和位置,表现为近端扩张长度不同程度的粪石、气粪混杂强回声,后壁衰减显著,先天性巨结肠,扩张肠管管径在0.3~2.0 cm,随着管径的减小,肠段走形表现为僵硬,蠕动延缓。采用超声造影检查,能够将全结肠痉挛狭窄程度、近端扩张状况、肠壁增厚程度、肠壁蠕动情况等显示出来。结论超声造影在小儿先天性巨结肠诊断中应用效果明显,不仅能够将患儿疾病程度清楚的反映出来,同时可以为疾病治疗方案的制定提供帮助。
ObjectiveTo explore the effect of contrast ultrasonography in the diagnosis of Hirschsprung′s disease in children.MethodsA retrospective analysis was performed on 30 children with Hirschsprung′s disease diagnosed by operation in Dongguan Eighth People′s Hospital from Jauly 2019 to August 2022.All the children were examined by contrast-enhanced ultrasonography and X-ray,and the results were analyzed.ResultsIn terms of diagnostic accuracy,the accuracy of X-ray examination was 66.67%(20/30,10 cases were missed,including 8 cases of ultra-short segment type and 2 cases of focal type of ascending colon),and the accuracy of contrast-enhanced ultrasonography examination was 93.33%(28/30,missed diagnosis was 2 cases of focal type of ascending colon),which was significantly higher than that of X-ray examination(P<0.05).Typical patients with Hirschsprung′s disease,according to the length and location of Hirschsprung′s disease,presented a mixture of bezoite and aerofeces with varying degrees of proximal dilation length and strong echo,significant attenuation of the posterior wall,congenital megacolon,and the diameter of the dilated bowel was 0.3-2.0 cm.With the decrease of the diameter of the tube,the intestinal segment was stiff and peristalsis was delayed.By using contrast-enhanced ultrasonography examination,the degree of spasm and stenosis of the whole colon,proximal dilation,thickening of the intestinal wall,and peristalsis of the intestinal wall could be shown.ConclusionContrast-enhanced ultrasonography has obvious application effect in the diagnosis of Hirschsprung′s disease in children,which can not only clearly reflect the disease degree of children,but also provide help for the formulation of treatment plan for the disease.
作者
彭彩霞
李育婵
蒋双兰
余凤
邓颖华
Caixia Peng;Yuchan Li;Shuanglan Jiang;Feng Yu;Yinghua Deng(Department of Ultrasonography,Dongguan Eighth People′s Hospital(Dongguan Children′s Hospital),Dongguan 523326,China)
出处
《中华消化病与影像杂志（电子版）》
2022年第5期278-280,共3页
Chinese Journal of Digestion and Medical Imageology(Electronic Edition)
基金
广东省2021年东莞市社会发展科技面上项目(20211800900632)
关键词
先天性巨结肠
儿童
超声造影
Hirschsprung′s disease
Children
Contrast-enhanced ultrasonography
作者简介
通信作者:蒋双兰,Email:jiangshl@163.com
