腹部X射线联合彩超对新生儿坏死性小肠结肠炎诊断价值

The Value of Abdominal X-Ray Combined with Color Doppler Ultrasound in the Diagnosis of Neonatal Necrotizing Enterocolitis

目的:观察分析腹部X射线联合彩色多普勒超声(简称,彩超)检查对新生儿坏死性小肠结肠炎(Neonatal Necrotizing Enterocolitis,NEC)诊断价值。方法:选取2019年8月~2020年12月于本院收治的坏死性小肠结肠炎新生儿42例作为研究对象。对所有患儿均行腹部X射线检查和彩超检查,并且该两者诊断时间间隔不超过24h,最后再将两者的诊断结果进行整合分析。观察比较腹部X射线检查、彩超检查以及腹部X射线联合彩超检查对NEC诊断的准确性以及对患儿肠壁积气和门静脉积气诊断的准确率。结果:腹部X射线检查、彩超检查以及腹部X射线联合彩超检查都存在一定程度漏诊和误诊的概率,但是腹部X射线联合彩超检查诊断NEC准确率为95.24%,明显比单纯应用腹部X射线检查(73.81%)或彩超检查(83.33%)的准确率高,三组间的比较差异具有统计学意义(P<0.05);腹部X射线联合彩超检查诊断患儿肠壁积气和门静脉积气准确率均较单纯应用腹部X射线检查或彩超检查的准确率高,三组间的比较差异具有统计学意义(P<0.05)。结论:对NEC行腹部X射线联合彩超诊断,可以提高疾病诊断的准确率,还可以更为有效地判断患儿肠壁积气和门静脉积气的情况,为患儿的临床治疗提供一定的参考依据。

Objective:To observe and analyze the diagnostic value of abdominal X-ray combined with color Doppler ultrasound in the diagnosis of neonatal necrotizing enterocolitis(NEC).Methods:42 neonates with necrotizing enterocolitis who were admitted to our hospital from August 2019 to December 2020 were selected as the research objects.Abdominal X-ray examination and color Doppler ultrasound examination were performed on all children,and the diagnosis time interval between the two was not more than 24 hours.Finally,the diagnosis results of the two were integrated and analyzed.To observe and compare the accuracy of abdominal X-ray examination,color Doppler ultrasound examination and abdominal X-ray combined with color Doppler ultrasound examination for the diagnosis of NEC and the accuracy of the diagnosis of intestinal gas and portal venous gas in children.Results:Abdominal X-ray examination,color Doppler ultrasound examination and abdominal X-ray combined with color Doppler ultrasound examination all have a certain degree of missed and misdiagnosed probability,but the accuracy of the diagnosis of NEC by abdominal X-ray combined with color Doppler ultrasound examination is 95.24%,which is significantly better than simply using abdominal X-ray examination(73.81%)or color Doppler ultrasound examination(83.33%),the accuracy rate is high,and the difference between the three groups is statistically significant(P<0.05);The accuracy rate of abdominal X-ray combined with color Doppler ultrasound in diagnosing intestinal wall pneumatosis and portal vein pneumoconiosis in children was higher than that of abdominal X-ray or color Doppler ultrasound alone,and the difference between the three groups was statistically significant(P<0.05).Conclusion:Abdominal X-ray combined with color Doppler ultrasound diagnosis of NEC can improve the accuracy of disease diagnosis,and it can also more effectively judge the intestinal wall gas and portal vein gas in children,and provide a certain reference for the clinical treatment of children in accordance with.