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彩色多普勒组织显像在小儿肺炎诊断中应用价值分析(1)
http://www.100md.com 2018年1月5日 中国医学创新 2018年第1期
     【摘要】 目的:观察彩色多普勒组织显像在小儿肺炎诊断中应用价值。方法:随机选择2016年

    9月-2017年8月至本院进行小儿肺炎治疗的患儿92例进行临床研究。所有患儿均给予了彩色多普勒检查以及X线检查,观察两种检查方法对小儿肺炎診断准确率的差异,以及两种检查方法对小儿肺炎合并胸腔积液等并发症的诊出率。结果:92例小儿肺炎患儿X线检查的检出率为100%,超声检查的检出率为97.83%,超声检查的检出率略低于X线,但两种检查方法检出率比较差异无统计学意义(P>0.05)。共计12例患儿出现胸腔积液,左侧7例,右侧5例,X线检出5例,检出率为41.67%;彩色多普勒组织显像检出11例,检出率为91.67%,超声对小儿肺炎胸腔积液的检出率高于X线检查,比较差异有统计学差异(P<0.05)。结论:彩色多普勒组织显像在小儿肺炎诊断中具有很好的应用价值,小儿因为胸壁薄,胸廓小等特点可以使用超声对肺部组织进行检查,其对肺炎诊断的准确性与X线等常规检查无明显差异,但是超声检查具有无辐射,可以多次重复检查,对患儿无损伤,且对于胸腔积液等并发症有更高的诊断准确率等特点。
, http://www.100md.com
    【关键词】 彩色多普勒; 小儿肺炎; 诊断; 胸腔积液

    Value of Color Doppler Tissue Imaging in the Diagnosis of Pneumonia in Children/WEI Ran,SHI Jiujia,LIU Song.//Medical Innovation of China,2018,15(01):049-052

    【Abstract】 Objective:To observe the value of color Doppler tissue imaging in the diagnosis of pneumonia in children.Method:92 children with pneumonia in our hospital from September 2016 to August 2017 were randomly selected for clinical study.All children were given color Doppler examination and X-ray examination.The difference of the diagnostic accuracy of two kinds of examination methods for children pneumonia were observed,the diagnostic rate of two kinds of examination methods for complications such as pneumonia and pleural effusion were compared.Result:A total of 92 cases of pediatric pneumonia X-ray examination rate was 100%,the detection rate of ultrasonography was 97.83%,ultrasound detection rate was slightly lower than the X-ray,but the two methods detection rate showed no significant difference(P>0.05).12 cases of pleural effusion,7 cases on the left side,5 cases on the right side,5 cases were detected by X-ray,the detection rate was 41.67%,and 11 cases were detected by color Doppler tissue imaging,the detection rate was 91.67%.Ultrasonic detection of pleural effusion in children with pneumonia was higher than that of X-ray examination,the difference was statistically significant(P<0.05).Conclusion:Color Doppler tissue imaging has good application value in the diagnosis of pediatric pneumonia in children,because the chest wall is thin,the characteristics of thoracic small can of lung tissue were examined using ultrasound,there is no obvious difference between the pair the accuracy of diagnosis of pneumonia and X-ray routine examination, but ultrasound has no radiation, can be repeatedly checked, no damage to the children,and has the characteristics of higher diagnostic accuracy for complications such as pleural effusion.

    【Key words】 Color Doppler; Pneumonia in children; Diagnosis; Pleural effusion, http://www.100md.com(魏然 石就家 刘松)
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