中国医学创新2024，Vol.21Issue(19)：103-106,4.DOI:10.3969/j.issn.1674-4985.2024.19.023
小儿肠旋转不良疑难病例超声特点及诊断价值研究
Study on the Ultrasonographic Characteristics and Diagnostic Value in Suspected Cases of Pediatric Intestinal Malrotation
摘要
Abstract
Objective:To explore the ultrasonographic characteristics and diagnostic value in suspected cases of pediatric intestinal malrotation.Method:From March 2022 to March 2024,98 suspected cases of pediatric intestinal malrotation were included in the study at Ganzhou Maternal and Child Health Hospital.All children underwent X-ray imaging and ultrasound diagnostics,with surgical pathology results serving as the gold standard.Ultrasonographic features in these pediatric cases were observed,and the sensitivity,specificity,and accuracy of the two diagnostic methods were compared.Result:Surgical pathology confirmed intestinal malrotation in 95 cases,with 3 cases showing no malrotation.Ultrasonography primarily revealed moderate-sized mass echoes in the upper abdomen,typical or atypical whirlpool signs,expanded upper abdominal veins,accompanied by intestinal wall edema and inter-intestinal effusion,and reduced blood flow in intestinal wall vessels.Among the 95 cases,intestinal malrotation was diagnosed in 72 cases by X-ray imaging and in 86 cases by ultrasound.The accuracy and sensitivity of ultrasound diagnosis for pediatric intestinal malrotation were 90.82% and 90.53%,respectively,all of which were higher than those of X-ray diagnosis(P<0.05).Conclusion:Ultrasound diagnosis shows higher accuracy,sensitivity than X-ray imaging in pediatric cases of suspected intestinal malrotation.Its unique ultrasonographic features hold significant diagnostic value for identifying intestinal malrotation in children.关键词
小儿肠旋转不良/超声特点/X线造影/病理检查/诊断价值Key words
Pediatric intestinal malrotation/Ultrasonographic characteristics/X-ray imaging/Pathological examination/Diagnostic value引用本文复制引用
肖晓玲,舒芳,刘华平..小儿肠旋转不良疑难病例超声特点及诊断价值研究[J].中国医学创新,2024,21(19):103-106,4.基金项目
赣州市卫生健康委员会科研计划项目(GZWJW202402199) （GZWJW202402199）
