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彩色多普勒超声对儿童先天性肾上腺皮质增生症的诊断价值 被引量:2

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摘要 目的探讨彩色多普勒超声对儿童先天性肾上腺皮质增生症(congenital adrenal hyperplasia,CAH)的诊断价值。方法收集经基因检测确诊为CAH的病例45例。其中男32例,女13例。收集患儿行内分泌治疗前超声检查资料,CT或MRI检查资料,血电解质及17-羟孕酮。分别记录超声及CT或MRI检查时患儿双侧肾上腺可见情况及形态、厚度。并对确诊CAH患者行内分泌治疗后1个月,3个月,6个月,1年分别行双侧肾上腺检查,并记录双侧肾上腺可见情况及形态、厚度。结果超声检查较CT或MRI能更清晰的显示肾上腺的形态并进行测量,两者对双侧肾上腺检出率结果为[84.4%(38/45)vs 88.9%(40/45)],并且差异无统计学意义。随着治疗的持续,肾上腺检出率及厚度呈现下降趋势。结论彩色多普勒超声与CT或MRI诊断出CAH有着相似的诊断效能,并且在治疗进展中可起到监测作用。
作者 林明
出处 《当代医学》 2017年第26期126-128,共3页 Contemporary Medicine
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