超声检测对小儿川崎病冠状动脉瘤诊断准确性的影响

Diagnosis accuracy effect of ultrasonic testing in children with Kawasaki disease of coronary artery aneurysms

目的探讨超声检测对小儿川崎病冠状动脉瘤诊断准确性的影响。方法回顾性分析2012年9月~2015年12月期间我院收治疑似川崎病冠状动脉瘤的100例患儿的临床资料,所有患儿均给予冠状动脉CT造影检查和超声检测,统计分析所有患儿冠状动脉内径、主动脉内径和瘤体检出情况。结果冠状动脉CT造影检查共检出瘤体9例,检出率为18.00%,超声检测共检出瘤体7例,检出率为14.00%,二者基本相同,无统计学差异（P〉0.05）;9例川崎病冠状动脉瘤患儿冠状动脉CT造影检查和超声检测左侧和右侧冠状动脉内径、主动脉内径水平和冠状动脉与主动脉之比基本相同,无统计学差异（P〉0.05）。结论超声检测可有效显示川崎病患儿冠状动脉内径情况和检出冠状动脉瘤,具有良好的准确性,且具有操作简单、无创等特点,有利于医师对该疾病进行及时的诊治,值得临床作进一步推广。

Objective To discuss the diagnosis accuracy effect of ultrasonic testing in children with Kawasaki disease of coronary artery aneurysms. Methods 100 children with Kawasaki disease of coronary artery aneurysms were retrospectively analyzed. All children were given coronary CT angiography examination and ultrasonic testing, all children with coronary artery diameter, aortic diameter and tumors had checked out. Results Coronary CT angiography revealed a total of 9 cases of tumors, and detection rate was 18.00%. The ultrasonic testing were detected tumors had 7 cases with 14.00% detection rate, and the two were basically the same, there was no significant difference. 9 cases of children with Kawasaki disease of coronary aneurysm coronary CT angiography examination and ultrasonic testing of left and right coronary artery diameter, aortic diameter level and the ratio of the coronary arteries and aorta were basically the same. Conclusion Ultrasonic testing can effectively show children with Kawasaki disease of coronary artery diameter and detection of coronary artery aneurysms, it has good accuracy, and has the characteristics of the operation is simple, noninvasive, and it is helpful for physicians to timely diagnosis and treatment of the disease.