先天性肥厚性幽门狭窄超声诊断标准的探讨.pdfVIP

·278· 宣墅堑堂塑墅疸堂蓥查兰Q!!生!旦箜丝鲞箜!塑 doi：10．3969／j．issn．1006-5709．2015．03．011 先天性肥厚性幽门狭窄超声诊断标准的探讨 方建强，朱文峰，徐莉，张佳，茹 彤 陕西省成阳市中心医院超声科，陕西成阳712000 【摘要】 目的探讨先天性肥厚性幽门狭窄(congenitalpyloricstenosis，CHPS)的超声诊断标准。方法采用小凸阵 hypertrophic 探头检查20例正常婴幼儿及20例CHPS患儿的胃体及幽门管图像，并测量幽门管长度、直径、幽门管肌层厚度及胃体部肌层厚度， 动态观察胃壁蠕动和胃排空情况，并与手术结果对照。结果正常胃体部与正常幽门管肌层厚度相比，差异无统计学意义(P CHPS患儿幽门管管壁蠕动消失，肌层明显增厚，幽门管腔狭窄，胃内容物不易通过幽门管腔，动态观察“宫颈征”不消失。结论 CHPS超声诊断应以幽门管的“宫颈征”图像及动态观察中幽门管蠕动消失、“宫颈征”不消失为重要诊断依据，而幽门管的超声测 量值作为辅助参考。 【关键词】超声；先天性肥厚性幽门狭窄；婴幼儿 中图分类号：R573．6 文献标识码：A 文章编号：1006—5709(2015)03—0278—03收稿日期：2014-02-25 in stenosis Thediscussionofultrasound diagnosingcongenitalhypertrophicpyloric FANG Jianqiang，ZHUWenfeng，XULi，ZHANGJia，RUTong of Central 712000，China DepartmentUltrasound，XianyangHospital，Xianyang the of stenosis To ultrasonic standards investigate congenitalhypertrophicpyloric 【Abstract】0bjective diagnosis and of20normal Smallconvex was tocheckthestomach images (CHPS)．Methodsarrayprobeadopted pyloricpipe infantsand20childrenwith anddiameterof of muscular CHPS，the layer length pyloricpipe，thicknesspyloricpipe’S and musclethicknesswere and were with find- gastric measured，gastricperistalsisgastricemptyingcomparedsurgical Thethicknessofnormal hadno differencefromthethicknessofnor— ings．Results gastricbody statisticallysignificant mal muscular