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目的:对比分析超声、腹部X线平片对小儿肠套叠的诊断价值。方法:选择我院2015年1月-2016年6月74例疑似肠套叠的患儿作为研究对象,确诊前所有患儿均先后接受腹部X线平片及超声检查,以空气灌肠或者手术确诊结果为金标准,对比二者诊断准确率、灵敏度及特异度。结果:超声对小儿肠套叠的诊断准确率、灵敏度分别为93.24%、93.85%,均明显高于腹部X线平片67.57%、69.23%,P<0.05,差异具有统计学意义。超声及X线平片对肠套叠的诊断特异度分别为88.89%、55.56%,P>0.05,差异无统计学意义。结论:采用超声诊断小儿肠套叠具有诊断准确率高、灵敏度高等特点,值得推广应用。
OBJECTIVE: To compare and analyze the diagnostic value of ultrasound and abdominal plain radiography in pediatric intussusception. Methods: A total of 74 children with suspected intussusception in our hospital from January 2015 to June 2016 were enrolled in this study. All children underwent congenital abdominal radiography and ultrasound before diagnosis. The patients were diagnosed by air enema or surgery The results for the gold standard, compared the diagnostic accuracy, sensitivity and specificity. Results: The diagnostic accuracy and sensitivity of ultrasound in pediatric intussusception were 93.24% and 93.85%, respectively, which were significantly higher than those of the plain radiography (67.57% and 69.23%, P <0.05). The difference was statistically significant. The diagnostic specificity of ultrasound and plain radiography for intussusception were 88.89% and 55.56%, respectively, P> 0.05, the difference was not statistically significant. Conclusion: Ultrasound diagnosis of intussusception in children with high diagnostic accuracy, high sensitivity, it is worth promoting.