| 苗莉莉,刘庆华,刘小芳,张新村,闫玉玺,庞焕平.对比高频超声与食管造影诊断新生儿先天性食管闭锁[J].中国医学影像技术,2021,37(11):1666~1669 |
| 对比高频超声与食管造影诊断新生儿先天性食管闭锁 |
| Comparison on high-frequency ultrasound and esophagography for diagnosis of neonatal congenital esophageal atresia |
| 投稿时间：2021-03-12 修订日期：2021-07-24 |
| DOI：10.13929/j.issn.1003-3289.2021.11.018 |
| 中文关键词: 食管闭锁 婴儿,新生儿 食管造影 超声检查 |
| 英文关键词:esophageal atresia infant, newborn esophagography ultrasonography |
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| 中文摘要: |
| 目的 对比高频超声与食管造影诊断新生儿先天性食管闭锁（EA）的价值。方法 回顾性分析98例临床诊断EA患儿的术前食管高频超声及食管造影资料，分析术前食管造影及高频超声诊断结果与术中所见的一致性及相关性。结果 术中结果显示，98例EA中，3例Ⅰ型，31例ⅢA型，60例ⅢB型，4例Ⅴ型。食管造影诊断91例（92.86%，91/98）EA，仅对其中8例做出分型诊断；漏诊7例。高频超声诊断98例（100%）EA，3例Ⅰ型、27例ⅢA型、63例ⅢB型、1例Ⅳ型、4例Ⅴ型，且与术中结果的一致性较高（Kappa=0.78，P<0.01），二者呈高度正相关（rs=0.82，P<0.01）。高频超声测量ⅢA型、ⅢB型EA远、近侧盲端距离与术中结果差异均无统计学意义（t=-0.714、-0.675，P=0.478、0.501）。结论 高频超声能准确判断常见的Ⅲ型EA，相比食管造影更宜作为术前诊断EA的常规及首选检查方法。 |
| 英文摘要: |
| Objective To compare the value of high-frequency ultrasound and esophagography for diagnosis of neonatal congenital esophageal atresia (EA). Methods Preoperative data of high-frequency ultrasonography and esophagography of 98 neonates with clinical diagnosed EA were retrospectively analyzed. The consistencies and correlations of preoperative esophagography and high-frequency ultrasound with intraoperative results were analyzed. Results The intraoperative results showed that, among 98 cases of EA, 3 were type Ⅰ, 31 were type ⅢA, 60 were type ⅢB and 4 cases were type Ⅴ. Esophagography diagnosed EA in 91 cases (92.86%, 91/98), among them only 8 cases were typed, and missed 7 cases. High-frequency ultrasound diagnosed EA in 98 cases (100%), including 3 type Ⅰ, 27 type ⅢA, 63 type ⅢB, 1 type Ⅳ and 4 cases of type Ⅴ. The high-frequency ultrasonic diagnosis results of EA were highly consistent with those of intraoperative results (Kappa=0.78, P<0.01), and there was high positive correlation between them (rs=0.82, P<0.01). There was no significant difference of the distance of two esophageal blind ends in type ⅢA and type ⅢB measured with high-frequency ultrasound and intraoperative results (t=-0.714, -0.675, P=0.478, 0.501). Conclusion Compared with esophagography, high-frequency ultrasound could accurately classify type Ⅲ EA, which could be used as the routine and preferred method for preoperative diagnosis of EA. |
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