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目的探讨超声在小儿先天性幽门肥厚诊断中的临床价值。方法选取2015年9月至2016年12月间本院收治的先天性幽门肥厚患儿50例及同期正常婴儿50作为研究对象,先天性幽门肥厚患儿作为观察组(观察组患儿均经手术确诊),正常婴儿作为对照组。采用超声对两组婴儿的幽门管长度、肌层厚度以及幽门管内径进行观察测量,并进行对比分析。将观察组患儿的超声测量结果与手术测量结果进行对比分析。评价超声诊断在小儿先天性幽门肥厚中的临床应用价值。结果超声测得观察组患儿幽门管长度为(2.2±0.4)cm,幽门管内径为(2.8±0.5)mm,幽门肌厚度为(5.7±1.0)mm;对照组幽门管长度为(1.1±0.3)cm,幽门管内径为(6.0±1.6)mm,幽门肌厚度为(2.1±0.6)mm;手术测量得观察组患儿的幽门管长度为(2.3±0.3)cm,幽门管内径为(2.7±0.6)mm,幽门肌厚度为(5.5±1.0)mm。观察组与对照组的超声结果差异显著(P<0.05),观察组手术测量结果与超声测量结果无显著差异(P>0.05)。结论超声检查技术可有有效鉴别正常婴儿和先天性幽门肥厚的患儿,且测量结果与手术测量结果无明显差异,对于诊断小儿先天性幽门肥厚具有较高的临床应用价值。
Objective To investigate the clinical value of ultrasound in the diagnosis of congenital pyloric hypertrophy in children. Methods 50 patients with congenital pyloric hypertrophy and 50 normal infants admitted to our hospital from September 2015 to December 2016 were selected as study subjects and children with congenital pyloric hypertrophy were selected as observation group Confirmed), normal infants as a control group. Ultrasound was used to observe and measure the length of pyloric tube, the thickness of muscular layer and the inner diameter of pyloric tube in two groups of infants, and compared them. The observation group of children with ultrasound measurements and surgical measurements were compared. Evaluation of ultrasound in the diagnosis of congenital pyloric hypertrophy in children with clinical value. Results The length of the pyloric duct in the observation group was (2.2 ± 0.4) cm, the diameter of the pyloric duct was (2.8 ± 0.5) mm and the thickness of the pyloric muscle was (5.7 ± 1.0) mm in the observation group. The length of the pyloric duct in the control group was (1.1 ± 0.3) cm. The diameter of pyloric duct was (6.0 ± 1.6) mm and the thickness of pyloric muscle was (2.1 ± 0.6) mm. The length of pyloric duct in the observation group was (2.3 ± 0.3) cm and the diameter of pyloric duct was 2.7 ± 0.6) mm, pyloric muscle thickness (5.5 ± 1.0) mm. There was significant difference between the observation group and the control group (P <0.05). There was no significant difference between the observation group and the ultrasound measurement group (P> 0.05). Conclusion Ultrasound can effectively identify normal infants and children with congenital pyloric hypertrophy, and there is no significant difference between measurement and surgical measurements, which has a high clinical value for the diagnosis of congenital pyloric hypertrophy in children.