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高频超声联合X片在儿童消化道畸形中的诊断价值
引用本文:陈志勇,周小渔,何静波,金科. 高频超声联合X片在儿童消化道畸形中的诊断价值[J]. 临床小儿外科杂志, 2014, 0(2): 148-149,152
作者姓名:陈志勇  周小渔  何静波  金科
作者单位:湖南省儿童医院,湖南省长沙市410007
摘    要:目的:探讨高频超声联合X线检查在儿童消化道畸形中的诊断价值。方法对60例经手术证实的消化道畸形患儿进行超声及X线片图像的回顾性分析。结果60例患儿中,单纯经超声诊断为肥厚性幽门梗阻8例,肠旋转不良5例,肠重复畸形6例。单纯经X线检查诊断为食管闭锁4例,肛门闭锁伴直肠会阴瘘7例;经高频超声联合X线检查诊断为消化道重复畸形13例,幽门水肿伴胃食管反流4例,环形胰腺7例,先天性巨结肠6例。结论高频超声联合X线检查可提高儿童消化道畸形的诊断率,二者互为补充。

关 键 词:高频超声  X线检查  消化道畸形  诊断

The value of high frequency ultrasound combined with X in diagnosis of digestive tract malformation in children
Affiliation:CHEN Zhi-yong , ZHOU Xiao-yu , HE Jing-bo , et al( Hunan Children' s Hospital, Hunan changsha 410007, China)
Abstract:Objetive To investigate the value of high frequency ultrasound combined with X-ray exami-nation in the diagnosis of digestive tract malformation in children. Methods 60 cases of gastrointestinal mal-formation operation confirmed by ultrasonography and X-ray images of the retrospective analysis. Results 1 9 cases of application of ultrasound alone diagnosis of 60 cases,including 8 cases of hypertrophic pyloric obstruc-tion,intestinal malrotation in 5 cases,6 cases were intestinal duplication,1 1 cases of application of X-ray sin-gle diagnosis,including 4 cases of esophageal atresia,atresia of anus with rectal perineal fistula in 7 cases,the other 30 cases of application of high frequency ultrasound combined with X the diagnosis,the pyloric edema with gastroesophageal reflux in 4 cases,7 cases of annular pancreas,6 cases of congenital megacolon. Con-clusion High frequency ultrasound combined with X-ray can improve children's digestive tract malformation di-agnosis rate,the two complement each other.
Keywords:High frequency ultrasound  X-ray examination  digestive tract malformation  diagnosis
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