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目的探讨高频超声联合胃肠超声造影对儿童十二指肠溃疡诊断的可行性及诊断价值。方法对37例临床疑十二指肠溃疡的患儿进行超声检查,将超声结果与纤维电子内镜检查结果进行对比分析。结果 37例患儿中经纤维电子内镜确诊为十二指肠溃疡的有35例,超声诊断十二指肠溃疡的有30例,漏诊5例,超声诊断灵敏度为85.71%;另2例疑似患儿经胃镜诊断为胃溃疡或浅表性胃炎,经超声诊断均为阴性,特异度为100%。结论儿童十二指肠溃疡的超声表现有一定特征,经腹超声可作为儿童十二指肠溃疡的简便、无创、较为准确的诊断方法。
Objective To investigate the feasibility and diagnostic value of high frequency ultrasound combined with gastrointestinal ultrasonography in the diagnosis of duodenal ulcer in children. Methods Thirty-seven children with clinical suspicious duodenal ulcer were examined by ultrasound, and the results of ultrasound and fiber electron endoscopy were compared. Results Thirty-seven children diagnosed as duodenal ulcer by fiber electronic endoscopy were diagnosed in 37 cases. Ultrasound diagnosis of duodenal ulcer in 30 cases, missed diagnosis in 5 cases was 85.71%. The other two cases were suspected Children diagnosed by gastroscopy for gastric ulcer or superficial gastritis, were negative by ultrasound, the specificity was 100%. Conclusion The sonographic features of children with duodenal ulcer have certain characteristics. Transabdominal sonography can be used as a simple, non-invasive and accurate diagnostic method for children’s duodenal ulcer.