贺雪华,邹德环,王红英,关步云,朱莉玲,王娜.对比实时超声与核素显像诊断儿童美克尔憩室[J].中国医学影像技术,2019,35(7):1065~1068
对比实时超声与核素显像诊断儿童美克尔憩室
Comparison of real-time ultrasound and radionuclide imaging for Meckel's diverticulum in children
投稿时间:2018-11-09  修订日期:2019-05-12
DOI:10.13929/j.1003-3289.201811055
中文关键词:  美克尔憩室  99Tcm-高锝酸盐  儿童  超声检查  放射性核素显像
英文关键词:Meckel diverticulum  99Tcm-pertechnetate  child  ultrasonography  radionuclide imaging
基金项目:
作者单位E-mail
贺雪华 广州市妇女儿童医疗中心超声科, 广东 广州 510120 snowyxue2012@163.com 
邹德环 广州市第一人民医院核医学科, 广东 广州 510180  
王红英 广州市妇女儿童医疗中心超声科, 广东 广州 510120  
关步云 广州市妇女儿童医疗中心超声科, 广东 广州 510120  
朱莉玲 广州市妇女儿童医疗中心超声科, 广东 广州 510120  
王娜 广州市妇女儿童医疗中心超声科, 广东 广州 510120  
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中文摘要:
      目的 对比观察实时超声与核素显像诊断儿童美克尔憩室的价值。方法 收集临床拟诊为美克尔憩室或因其并发症而接受外科手术治疗的156例患儿,行实时超声检查和99Tcm-高锝酸盐腹部平面显像。以手术病理结果作为金标准,比较两种检查方法的诊断价值。结果 156例中,105例经病理检查证实为美克尔憩室。超声诊断美克尔憩室的敏感度、特异度和准确率为87.62%(92/105)、88.24%(45/51)和87.82%(137/156),核素显像为71.43%(75/105)、72.55%(37/51)和71.79%(112/156),超声均高于核素显像。结论 超声诊断儿童美克尔憩室及其并发症准确率较高,可作为临床诊断美克尔憩室的首选辅助方法。
英文摘要:
      Objective To explore the value of real-time ultrasound and 99Tcm-pertechnetate scintigraphy for diagnosis of Meckel's diverticulum (MD) in children. Methods Totally 156 children with clinically diagnosed MD or complications and then treated with surgical operations were enrolled. Real-time ultrasound examination and 99Tcm-pertechnetate scintigraphy were performed before operation. Taking surgical pathological results as gold standards, the diagnostic efficacies of these two methods were compared. Results MD was diagnosed in 105 children after operation. The sensitivity, specificity and accuracy of ultrasound for MD was 87.62% (92/105), 88.24% (45/51) and 87.82% (137/156), while of 99Tcm-pertechnetate scintigraphy was 71.43% (75/105), 72.55% (37/51) and 71.79% (112/156), respectively. The sensitivity, specificity and accuracy of ultrasound were all higher than those of 99Tcm-pertechnetate scintigraphy in diagnosis of MD. Conclusion Real-time ultrasound can effectively diagnose MD and complications, which can be used as the preferred auxiliary diagnostic method for clinic.
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