中国妇幼健康研究Issue(5)：676-679,4.DOI:10.3969/j.issn.1673-5293.2013.05.017
CDFI与 ECT 对婴儿梗阻性黄疸的诊断价值分析
Value of CDFI and ECT in diagnosis of infant obstructive jaundice
刘百灵 1王琪 2岳瑾琢 1杨礼 1裴勖斌 1王婷1
作者信息
- 1. 西安市儿童医院超声科
- 2. 西安市儿童医院新生儿外科，陕西西安 710003
- 折叠
摘要
Abstract
Objective To explore the differential diagnosis value of Color Doppler Flow Imaging ( CDFI ) and Emission Computed Tomography ( ECT) in infant obstructive jaundice .Methods The ultrasonic manifestation and ECT data of 48 infant cases with obstructive jaundice were retrospectively analyzed .Physical signs in surgery and pathologic examination were taken as the golden standard , and the outcomes of two examinations were compared .Results Twenty-six cases of biliary atresia , 18 cases of viral cholestatic hepatitis and 4 cases of primary sclerosing cholangitis were diagnosed by CDFI .Seven cases were not diagnosed definitely , among whom 3 cases were false positive and 4 cases were false negative .The sensitivity, specificity and accuracy for CDFI in detecting infant obstructive jaundice were 74.1%, 87.5% and 89.5%, respectively.Thirty-three cases of biliary atresia, 11 cases of viral cholestatic hepatitis and 4 cases of primary sclerosing cholangitis were diagnosed by ECT , with 6 cases of false positive.The sensitivity, specificity and accuracy for ECT were 100.0%, 71.4%and 91.5%, respectively.There were significant differences in sensitivity and specificity between two methods (χ2 value was 5.69 and 3.98, respectively, both P<0.05), but the difference in accuracy was not significant (P>0.05).Conclusion Both CDFI and ECT play important role in diagnosis and differential diagnosis of infant obstructive jaundice .CDFI is more specific , but ECT is highly sensitive.Diagnostic accuracy can be improved when CDFI is combined with ECT .关键词
婴儿/梗阻性黄疸/彩超/放射性核素动态显像/诊断价值Key words
infant/obstructive jaundice/Color Doppler ultrasonography/emission computed tomography ( ECT)/diagnostic value分类
医药卫生引用本文复制引用
刘百灵,王琪,岳瑾琢,杨礼,裴勖斌,王婷..CDFI与 ECT 对婴儿梗阻性黄疸的诊断价值分析[J].中国妇幼健康研究,2013,(5):676-679,4.
