高频超声联合超声在新生儿食管闭锁诊断中的应用价值

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.63

Yurong Ge, Baoyue Xu, Jing Shi, Weiwei Tang

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引用次数: 0

摘要

目的:探讨高频超声联合超声在新生儿食管闭锁(EA)诊断中的应用价值;方法:回顾性选择2019年8月~ 2022年4月我院收治的70例疑似EA新生儿为研究对象，分析其术前食管高频超声及超声水文学资料。以术中表现为金标准，分析高频超声、超声水文学及联合检测对新生儿EA的诊断价值; 结果:(1)70例疑似EA患儿中，62例确诊阳性，8例阴性;单纯超声水文学检查阳性59例，阴性11例;单纯高频超声检查阳性61例，阴性9例;联合检测阳性62例，阴性8例。(2)联合检测准确率为97.14%，与高频超声92.86%、超声水文学84.29% (P <(3)超声水文学、高频超声、联合检测对EA的诊断AUC分别为0.6125、0.6500、0.6563 (P <(4)术前高频超声、超声水图与术中IIIA型和IIIB型EA型食管远端和近端盲端测量的距离无显著差异(P >0.05); & # x0D;结论:高频超声联合超淡水注射血管造影在新生儿EA诊断中有很好的应用价值，III型EA术前、术中食管远端、近端盲端距离与超淡水注射血管造影术中无明显差异。但考虑到食管造影引起辐射和中毒的风险，建议先选择高频超声进行诊断，必要时辅以食管造影联合诊断。关键词:高频超声;超声造影;新生儿食管闭锁;应用价值。

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Application value of high-frequency ultrasound combined with ultrasonography in the diagnosis of neonatal esophageal atresia

Objective: To explore the application value of high-frequency ultrasound combined with ultrasonography in the diagnosis of neonatal esophageal atresia (EA) Methods: Seventy neonates with suspected EA who received healing in our hospital from August 2019 to April 2022 were retrospectively selected as the study subjects and their preoperative esophageal high-frequency ultrasound and ultrasound hydrography data were analysed. The diagnostic value of high-frequency ultrasound, ultrasound hydrography and combined detection in neonatal EA was analysed using intraoperative findings as the gold standard; Results: (1) Among the 70 children with suspected EA, 62 were confirmed to be positive and 8 were negative; 59 were positive and 11 were negative by ultrasound hydrography alone; 61 were positive and 9 were negative by high-frequency ultrasound alone; 62 were positive and 8 were negative by combined detection.(2) The accuracy of combined detection was 97.14%, which was notably different from 92.86% by high-frequency ultrasound and 84.29% by ultrasound hydrography (P < 0.05).(3) The diagnostic AUC of ultrasound hydrography, high-frequency ultrasound, and combined detection for EA was 0.6125, 0.6500, and 0.6563, respectively (P < 0.05).(4) There was no significant variation in the distance between preoperative high-frequency ultrasound, ultrasound hydrography, and intraoperative measurements of distal and proximal blind ends of type IIIA and IIIB EA esophagus (P > 0.05); Conclusion: High frequency ultrasound and super fresh water injection angiography have good application value in the diagnosis of neonatal EA. There is no significant difference between the distance between the distal and proximal blind ends of the esophagus before and during the operation of type III EA and that during the operation of super fresh water injection angiography. However, in consideration of the risk of radiation and poisoning caused by esophagography, it is recommended that high-frequency ultrasound be selected first for diagnosis and if necessary, esophagography be supplemented for joint diagnosis. Keywords: High frequency ultrasound; Ultrasound angiography; Neonatal esophageal atresia; Application value.

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来源期刊

African Health Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

179

审稿时长

>12 weeks

期刊介绍： The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.