经腹彩色多普勒超声在儿童肠息肉诊断中的应用价值

Application value of transabdominal color Doppler ultrasound in the diagnosis of intestinal polyps in children

目的研究经腹彩色多普勒超声在儿童肠息肉诊断中的应用价值。方法选取我院收治的疑似肠息肉患儿80例为研究对象,统计患儿接受常规腹部彩色多普勒超声检查结果,并与患儿结肠镜检查结果进行比较,分析其诊断准确性。结果超声检查结果与病理检查结果的符合率为92.50%。6例误诊患儿的病理检查显示,1例为畸胎瘤,2例为血肿,1例为血管脂肪瘤,2例为肿大淋巴结,误诊率为7.50%。两种检查方法对肠道各部位息肉的诊断结果比较,无明显差异(P>0.05)。两种检查方法对幼年性息肉、黑斑息肉综合征、腺瘤样息肉影像特点存在显著差异。结论经腹彩色多普勒检查能够准确发现肠息肉疾病的特征,对患儿的病情进行准确诊断,对后期治疗具有显著的应用价值。

Objective To study the value of transabdominal color Doppler ultrasonography in the diagnosis of intestinal polyps in children.M e t h o d s Eighty children suspected with intestinal polyps treated in our hospital were selected as the study objects.The results of color Doppler ultrasound examination in children were compared with the results of colonoscopy,and the diagnostic accuracy was analyzed.Results The coincidence rate of the results of ultrasound examination and pathological examination was 92.50%;pathological examination of 6 misdiagnosed children including 1 case of teratoma,2 cases of hematoma,1 case of angiolipoma and 2 cases of enlarged lymph nodes,and the misdiagnosed rate was 7.50%.There was no significant difference between ultrasonic diagnosis and pathological diagnosis in vatious parts of the intestine(P>0.05).There were significant differences in the characteristics of juvenile polyp,PJS and adenomatoid polyp.C o n c l u s i o n Transabdominal color Doppler examination can accurately detect the characteristics of intestinal polyps,and accurately diagnose the condition of children,which has more significant application value in the treatment of intestinal polyps children in the later stage.