田青,朱好辉,袁建军,李惠,鲍俊涛.超声与放射性核素显像诊断儿童梅克尔憩室的对比研究[J].中国医学影像技术,2017,33(7):998~1001
超声与放射性核素显像诊断儿童梅克尔憩室的对比研究
Comparative study of ultrasound and radionuclide imaging in diagnosis of Meckel's diverticulum in children
投稿时间:2016-12-06  修订日期:2017-02-19
DOI:10.13929/j.1003-3289.201612016
中文关键词:  超声检查  梅克尔憩室  放射性核素显像
英文关键词:Ultrasonography  Meckel diverticulum  Radionuclide imaging
基金项目:国家临床重点专科建设项目(2013226)。
作者单位E-mail
田青 河南省人民医院超声科, 河南 郑州 450003  
朱好辉 河南省人民医院超声科, 河南 郑州 450003  
袁建军 河南省人民医院超声科, 河南 郑州 450003 yuan2373@163.com 
李惠 河南省人民医院超声科, 河南 郑州 450003  
鲍俊涛 河南省人民医院小儿外科, 河南 郑州 450003  
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中文摘要:
      目的 对比超声与放射性核素诊断梅克尔憩室的效能。方法 收集46例临床怀疑为梅克尔憩室的患儿,分析其超声、核素显像资料,并与手术病理结果对照,计算并比较超声、核素显像诊断梅克尔憩室的效能。结果 46例患儿中,38例术中证实为梅克尔憩室;其中超声诊断33例,假阴性5例,未出现假阳性;放射性核素显像诊断24例,假阳性4例,假阴性18例。超声诊断准确率89.13%(41/46)、敏感度86.84%(33/38)、特异度100%(8/8);放射性核素显像诊断准确率52.17%(24/46)、敏感度52.63%(20/38)、特异度50.00%(4/8)。超声诊断梅克尔憩室的敏感度与核素显像比较差异有统计学意义(P<0.01)。结论 超声诊断梅克尔憩室具有无创、无辐射、价格易接受及敏感度高等优势。
英文摘要:
      Objective To compare diagnostic performance of ultrasound and radionuclide imaging in diagnosis of Meckel's diverticulum. Methods Totally 46 children suspected with Meckel's diverticulum were enrolled. Ultrasound, radionuclide imaging data were analyzed and compared with pathology. Results In 46 children suspected with Meckel's diverticulum, 38 cases were confirmed by operation. Thirty-three cases of 38 were diagnosed Meckel's diverticulum by ultrasound, 5 cases of 38 were false negative, there was no false positive case. Radionuclide imaging was positive in 24 cases of 46, false positive in 4 cases and false negative in 18 cases. The ultrasound diagnostic accuracy rate was 89.13% (41/46), sensitivity was 86.84% (33/38), specificity was 100% (8/8). Diagnostic accuracy rate of radionuclide imaging was 52.17% (24/46), sensitivity was 52.63% (20/38) and specificity was 50.00% (4/8). The sensitivity of ultrasound and radionuclide imaging in diagnosis of Meckel's diverticulum had significant difference (P<0.01). Conclusion Ultrasound in diagnosis of Meckel's diverticulum has advantages of non-invasive, no radiation, acceptable price and high sensitivity.
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