婴幼儿先天性肥厚性幽门狭窄超声与X线诊断的对比研究

Comparative Research between Ultrasonography and X-Ray in Infant Congenital Hypertrophic Pylorus Stenosis

目的 通过超声诊断CHPS 3 1例 ,与X线对照 ,讨论超声诊断的临床意义。方法 对X线诊断为CHPS的患儿进行超声检查 ,测量幽门管肌层厚度 ,观察胃潴留情况。结果 超声测量幽门横切面 ,幽门肌厚度≥ 3 .5mm ,合并胃潴留的3 1例患儿 ,诊断为CHPS ,与X线诊断相符合 ,并经手术证实。结论 超声可作为CHPS诊断的首选方法。

Objective To discuss the clinical significance of ultrasonography in diagnosing CHPS by compared with X ray. Methods The muscular thickness of pyloric canal and the retention of stomach were observed in 31 cases of CHPS diagnosed by X ray. Results Thirty one infants,who had a muscular thickness of pyloric cross section not less than 3.5mm and were complicated with gastric retention,were diagnosed as CHPS,which were consistent with X ray diagnosis and confirmed by surgery. Conclusion Ultrasonography is the optimal method in diagnosis of CHPS.[