彩色多普勒超声在小儿肠道重复畸形诊断中的应用价值分析

Analysis of the application value of color Doppler ultrasound in the diagnosis of repeated intestinal malformations in children

目的探究彩色多普勒超声(简称彩超)诊断小儿肠道重复畸形的临床应用价值.方法择取我院2015年7月~2019年7月收治的60例疑似肠道重复畸形患儿的临床资料.对其进行彩超检查,以手术病理检查结果为诊断金标准.对彩超检查小儿肠道重复畸形的诊断符合率、误诊率、漏诊率进行统计分析.结果彩超检查小儿肠道重复畸形的诊断符合率、误诊率、漏诊率依次为86.67%、16.67%、12.96%.彩超检查病变部位位于小肠、空肠、结肠、回肠的诊断符合率依次为100.00%、100.00%、91.67%、97.22%.彩超检查肠外囊肿型、肠内囊肿型、胸内型、管状或双肠腔型的诊断符合率依次为100.00%、100.00%、80.00%、93.33%.彩超检查结果与手术病理检查结果比较,差异无统计学意义(P>0.05).结论彩超检查用于小儿肠道重复畸形诊断中,可有效提高诊断符合率及灵敏度,同时降低误诊、漏诊率,进而为临床医师提供准确性较高的数据,帮助其尽早确诊疾病.

Objective To explore the clinical value of color Doppler ultrasound(abbreviated as color Doppler ultrasound)in diagnosing intestinal repeat malformations in children.Methods The clinical data of 60 children with suspected repeated intestinal deformities admitted in our hospital from July 2015 to July 2019 were selected.Carry out color Doppler ultrasound examination,and use the results of surgical pathology as the gold standard for diagnosis.Statistical analysis was performed on the coincidence rate,misdiagnosis rate and missed diagnosis rate of colorectal ultrasonography in children with repeated intestinal malformations.Results The diagnostic coincidence rate,misdiagnosis rate and missed diagnosis rate of intestinal repeat malformation in children with color Doppler ultrasound examination were 86.67%,16.67%,and 12.96% respectively.The diagnostic coincidence rates of color Doppler ultrasound examination for the lesions located in the small intestine,jejunum,colon,and ileum were 100.00%,100.00%,91.67%,97.22%.The ooincidenre rates of ultra-examination of extraintestinal cyst type,intestinal cyst type,intrathoracic type,tubular or double intestinal cavity type were 100.00%,100.00%,80.00%,and 93.33%.There was no statistically significant difference between the results of color Doppler ultrasound examination and surgical pathological examination(P>0.05).Conclusion Color Doppler ultrasound is used in the diagnosis of children's intestinal repeat malformations,which ran effectively improve the diagnostic coincidence rate and sensitivity,and at the same time reduce the misdiagnosis and missed diagnosis rates,and thus provide clinicians with higher accuracy data to help them diagnose the disease as soon as possible.