Yu Mei,Ge Yurong,Shi Jing,et al.Ultrasound-assisted enema plus X-ray barium enema for diagnosing Hirschsprung’s disease: a retrospective study[J].Journal of Clinical Pediatric Surgery,,20():236-240.[doi:10.12260/lcxewkzz.2021.03.007]
Ultrasound-assisted enema plus X-ray barium enema for diagnosing Hirschsprung’s disease: a retrospective study
- Keywords:
- Hirschsprung Disease/DI; Ultrasonography; Radiography; Pathology; Surgical
- CLC:
- R726.1;R574
- Abstract:
- Objective To explore the application value of ultrasound-assisted enema plus X-ray barium enema in the diagnosis of Hirschsprung’s disease in children.Methods Retrospective reviews were performed for 39 cases of congenital megacolon confirmed by rectal mucosal biopsy and surgery.Meanwhile,comparative analysis was made for the results of ultrasound assisted enema,X-ray barium enema,rectal mucosal biopsy and pathology.Results According to the scope of involvement of stenosis and spasm segment,the clinical types were common (n=19),short segment (n=6),ultra-short segment (n=4),long segment (n=4),total colonic (n=3) and missed diagnosis (n=3).Thirty-five cases of congenital megacolon were diagnosed by X-ray barium enema with a diagnostic coincidence rate of (89.7%,35/39).The clinical types were common (n=18),short segment (n=5),ultra-short segment (n=3),long segment (n=4),total colonic (n=5) and missed diagnosis (n=4).And the difference was not statistically significant.Thirty-eight cases of congenital megacolon were diagnosed by combining two methods with a diagnostic coincidence rate of (97.4%,38/39).The clinical types were common (n=19),short segment (n=6),ultra-short segment (n=4),long segment (n=4) and total colonic (n=5).Significant difference existed in detection rate between combining two methods and one single method (P<0.05).Conclusion The coincidence rate of ultrasonography-assisted enema and barium X-ray enema is high in children with congenital megacolon.It provides reliable imaging evidence for early clinical diagnosis and early surgery.Both methods are routine and non-invasive.
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Memo
收稿日期:2020-11-03。
基金项目:贵阳市卫生和计划生育委员会科学技术计划项目（编号：[2018]筑卫计科技合同字第015号）
通讯作者:葛郁荣,Email:707970257@qq.com