婴幼儿先天性肥厚性幽门狭窄的上消化道造影及超声诊断价值观察.docVIP

精品论文 参考文献 婴幼儿先天性肥厚性幽门狭窄的上消化道造影及超声诊断价值观察 （陕西省人民医院放射科，陕西 西安 710068） 中图分类号 R726.5 文献标志码 A 文章编号 1008-0408（2015）2-0133-02 摘 要 目的：研究上消化道造影检查与超声技术在临床婴幼儿CHPS诊断中的疗效价值。方法：对150例经手术证实为CHPS患儿分别采用超声检查与上消化道造影检查进行诊断，对比分析其诊断价值。结果：150例患儿采用上消化道X线造影检查，均显示幽门管狭窄，53例为鸟嘴征，49例为菌伞征，33例为线样征，15例为肩样征，诊断率为100.00%。经超声检查显示，有4例患儿因腹腔内有较多气体，使幽门部显示不清晰，影响观察，1例疑似诊断，确诊145例，诊断符合率为96.67%。比较2种检查方式的诊断率，并无明显差异，pgt;0.05。结论：在临床小儿CHPS的诊断中，超声检查与上消化道X线造影检查同样具有较为显著的临床应用价值，且超声检查操作简单、无创，可以迅速作出诊断，值得临床疾病诊断过程中推广应用。 关键词 CHPS；超声；上消化道造影；疗效 Abstract objective: to study the imaging examination of upper gastrointestinal tract and ultrasonic technology in clinical curative effect of CHPS diagnosis value in infants. Methods: 150 cases confirmed by surgery for children of CHPS were using ultrasound examination and imaging examination of upper gastrointestinal tract diagnosis, analysis of its diagnostic value. Results: 150 cases of children with upper gastrointestinal X-ray imaging examination, have shown pyloric stenosis, 53 cases of beak sign, 49 cases of pileus, 33 cases of line), 15 cases of shoulder sample collection, diagnostic rate was 100.00%. By ultrasound examination showed that there are 4 cases with abdominal cavity has more gas, make the pylorus display is not clear, affect the observation, 1 case of suspected diagnosis of 145 cases of confirmed diagnosis coincidence rate was 96.67%. The diagnosis of comparing two methods for inspection, and no significant difference, p gt; 0.05). Conclusions: in clinical diagnosis of pediatric CHPS, ultrasound examination and X-ray imaging examination of upper gastrointestinal tract also has relatively significant clinical application value of ultrasound and the operation is simple, noninvasive, can quickly make a diagnosis, is worth popularization and application in the process of clinical disease diagnosis. Key words CHPS; Ultrasound; Upper gastrointestinal angiography; The curative effect 先天肥厚性幽门狭窄（CHPS）是新生儿消化道畸形症之一，因幽门环形肌肥厚使新生儿幽门狭窄，造成的幽门