低频联合高频超声对小儿肠套叠的诊断效果研究

doi:10.7517/issn.1674-0475.200311

摘要/Abstract

摘要： 本研究选取肠套叠患儿80例，均给予低频和高频超声检查，以灌肠复位或手术结果为对照，分析了低频联合高频超声对小儿肠套叠的诊断效果。结果显示，低频联合高频超声对混合性肿块、同心圆征、套筒征、肠壁水肿等肠套叠典型声像特征检出率明显高于低频超声（P<0.05）；低频联合高频超声对不同部位肠套叠的检出率明显高于低频超声（P<0.05）；低频联合高频超声诊断小儿肠套叠的符合率为100.00%，明显高于低频超声的90.00%（P<0.05）。本研究证实低频联合高频超声对小儿肠套叠可提供典型声像征及发病部位等诊断依据，具有良好的诊断效能，值得临床作进一步推广。

关键词: 高频, 低频, 超声, 小儿, 肠套叠, 诊断

Abstract: In this research, 80 cases of infantile intussusception were examined by high frequency and low frequency ultrasound. The diagnostic efficiency of low frequency combined with high frequency ultrasound for intussusception in children was analyzed by comparing with enema reduction or operation. The results showed that the detection rate of high-frequency combined with low-frequency ultrasound for typical ultrasonic signs of intussusception such as mixed mass, concentric circle sign, sleeve sign and intestinal wall edema was significantly higher than that of low-frequency ultrasound (P<0.05). The detection rate for intussusception in different parts by low frequency combined with high frequency ultrasound was higher than that by low frequency ultrasound (P<0.05). The coincidence rate of high frequency combined with low frequency ultrasound in the diagnosis of intussusception in children was 100.00%, which was higher than 90.00% of low frequency ultrasound (P<0.05). In a word, low frequency combined with high frequency ultrasound can provide diagnostic basis for typical ultrasonic signs and the location of the onset of intussusception in children, which has good diagnostic efficiency and is worthy of further promotion in clinical practice.

Key words: high frequency, low frequency, ultrasound, children, intussusception, diagnosis

王佳慧, 袁二伟. 低频联合高频超声对小儿肠套叠的诊断效果研究[J]. 影像科学与光化学, 2020, 38(5): 906-909.

WANG Jiahui, YUAN Erwei. Diagnostic Efficiency of Low Frequency Ultrasound Combined with High Frequency in Infantile Intussusception[J]. Imaging Science and Photochemistry, 2020, 38(5): 906-909.

参考文献

[1] Lioubashevsky N, Hiller N, Rozovsky K, et al. Ileocolic versus small-bowel intussusception in children:can US enable reliable differentiation?[J]. Radiology, 2013, 269(1):266-271.
[2] 黄李燕, 谢君, 金宏祥, 等. 高频超声诊断小儿肠套叠的临床价值探究[J]. 现代医用影像学, 2017, 26(3):775-776.
[3] 杨秀录, 金伟敏, 杨松玉, 等. 高频超声在小儿急性肠套叠诊疗中的应用价值[J]. 浙江医学, 2017, 39(22):2037-2039.
[4] 张金哲, 潘少川, 黄澄如. 实用小儿外科学[M]. 杭州:浙江科学技术出版社, 2003. 767.
[5] 张杰, 刘凌萍, 杨芳, 等. 小儿继发性肠套叠的超声特征[J]. 中国中西医结合儿科学, 2016, 8(2):182-184.
[6] Karada A, Abbasolu L, Sever N, et al. Ultrasound-guided hydrostatic reduction of intussusception with saline:safe and effective[J]. Journal of Pediatric Surgery, 2015, 50(9):1563-1565.
[7] 张宝娟, 刘广禄, 侯芳妮, 等. 彩色多普勒超声在诊治小儿肠套叠中的临床价值[J]. 临床超声医学杂志, 2017, 19(12):860-861.
[8] Puckett Y, Greenspon J, Fitzpatrick C, et al. Utility of hospital admission for pediatric intussusceptions[J]. Pediatric Surgery International, 2016, 32(8):805-809.
[9] 王颖琦, 何小萍, 胡春梅, 等. 彩色多普勒超声诊断小儿肠套叠及超声引导下水压灌肠复位的临床价值[J]. 中国医学装备, 2015, 12(3):73-75.
[10] Flaum V, Schneider A, Ferreira C G, et al. Research on co-lor to exceed diagnose intussusception and ultrasound-guided hydrostatic enema reset[J]. Journal Pediatric Surgery, 2016, 51(1):179-182.
[11] 黄锦洪. 高频超声检查诊断小儿肠套叠的方法及应用意义探究[J]. 数理医药学杂志, 2016, 29(5):769-770.
[12] Tagbo B N, Mwenda J, Eke C, et al. Retrospective evaluation of intussusception in under-five children in Nigeria[J]. World Journal of Vaccines, 2014, 4(3):123-132.
[13] 邓萍, 赵开银, 王显志, 等. 彩色多普勒超声诊断小儿肠套叠的临床意义[J]. 华西医学, 2014, 29(5):928-930.
[14] Ahmad M M, Wani M D, Dar H M, et al. An experience of ultrasound-guided hydrostatic reduction of intussusception at a tertiary care centre[J]. South African Journal of Surge-ry, 2016, 54(1):10-13.
[15] 董娟,李绍东.需手术治疗的小儿小肠套叠彩色多普勒超声特点分析[J].临床超声医学杂志,2017,19(8):563-566.
[16] Guney L H, Fak1oglu E, Acer T, et al. Is every intussusception treatment an emergency intervention or surgery?[J]. Turkish Journal of Trauma & Emergency Surgery, 2016, 22(2):139-144.