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目的总结儿童消化道畸形的超声特点,探讨超声对不同消化道畸形的诊断价值。方法对我院临床疑似消化道畸形10 185例患儿进行的超声检查,与手术病理结果相对照,计算超声诊断的灵敏度、特异度及Kappa值等。结果超声检查10 185例疑似消化道畸形的儿童,1 531例经手术或病理证实为消化道畸形。超声灵敏度86.73%、特异度97.12%、诊断符合率95.52%,Kappa值0.84a。结论超声对各种儿童消化道畸形的诊断符合率较高,特别对在幽门肥厚性狭窄、肠旋转不良、胆总管囊肿等疾病的诊断具有不可替代的优势。
Objective To summarize the ultrasonic features of gastrointestinal malformations in children and explore the diagnostic value of ultrasound in different gastrointestinal malformations. Methods Ultrasonography was performed in 10 185 cases of suspected gastrointestinal malformations in our hospital. The sensitivity, specificity and Kappa value of ultrasonic diagnosis were calculated according to the results of surgery and pathology. Results Ultrasound examination of 10 185 children suspected of gastrointestinal malformations and 1 531 cases of gastrointestinal malformations confirmed by surgery or pathology. The ultrasound sensitivity was 86.73%, specificity was 97.12%, diagnosis coincidence rate was 95.52%, Kappa value was 0.84a. Conclusion Ultrasound has a high coincidence rate in diagnosing gastrointestinal malformations in children, especially for diagnosis of hypertrophic pyloric stenosis, bowel dysfunction and choledochal cyst.