Is color Doppler a reliable method for the diagnosis of malrotation?
Is color Doppler a reliable method for the diagnosis of malrotation?
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DOI：
10.1007/s10396-017-0794-5
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发表时间：
2018-01-01
影响因子：
1.8
通讯作者：
Ozguner, Ismet Faruk
中科院分区：
文献类型：
--
作者：
Karaman, Ibrahim;Karaman, Ayse;Ozguner, Ismet Faruk
诊断旋转不良的金标准是上消化道钡剂造影（UGCS），彩色多普勒超声（CDUS）是另一种诊断方法。在本研究中，我们探讨了CDUS在诊断旋转不良中的价值。回顾性分析了7年期间82例疑似旋转不良患者的UGCS图像、CDUS图像、腹部平片、人口学资料和症状。所有患者都接受了CDUS检查，其中18%的患者被诊断为旋转不良，因为肠系膜上静脉位于肠系膜上动脉的左侧。我们发现75例接受UGCS的患者中有16%被诊断为旋转不良。CDUS诊断旋转不良的敏感性为93.8%，特异性为100%。UGCS的数值分别为91.7%和98.4%。目前文献中的数据和我们的结果强调UGCS可能产生假阳性和假阴性结果。虽然在我们的研究中发现CDUS是诊断旋转不良的可靠方法，但UGCS对CDUS的局限性也被认识到。需要前瞻性研究来确定更有价值的方法。
The gold standard for the diagnosis of malrotation is barium contrast study of the upper gastrointestinal system (UGCS), while color Doppler ultrasonography (CDUS) is another method used in the diagnosis. We investigated the value of CDUS for the diagnosis of malrotation in this study.UGCS images, CDUS images, plain abdominal images, demographic data, and symptoms of 82 patients who were investigated for presumed malrotation during a 7-year period were evaluated, retrospectively.All patients underwent CDUS, and 18% of these patients were diagnosed with malrotation as the superior mesenteric vein was seen to be on the left of the superior mesenteric artery. We found that 16% of the 75 patients who underwent UGCS were diagnosed with malrotation. The sensitivity and specificity of CDUS in the diagnosis of malrotation was found to be 93.8 and 100%, respectively. The respective values for UGCS were 91.7 and 98.4%.Current data in the literature and our results underline that UGCS may yield false-positive and false-negative results. Although CDUS was found to be a reliable method for the diagnosis of malrotation in our study, the limitations of UGCS are also recognized for CDUS. Prospective studies are needed to determine the more valuable method.