Soundappan Soundappan S V, Lam Albert, Lam Lawrence, Cass Danny, Holland Andrew J A, Karpelowsky Jonathan
Department of Surgery, The Children's Hospital at Westmead, Sydney medical School, University of Sydney Sydney Australia.
Department of Medical Imaging, The Children's Hospital at Westmead, Sydney, Sydney Medical school, University of Sydney Sydney Australia.
POCUS J. 2021 Apr 22;6(1):33-35. doi: 10.24908/pocus.v6i1.14760. eCollection 2021.
To study the diagnostic accuracy of surgeon performed ultrasound (SPU) in the diagnosis of children presenting with clinical suspicion of intussusception to a tertiary paediatric facility in NSW, Australia. Children under the age of 16 presenting to the emergency department with clinical features suggestive of intussusception were recruited. After obtaining consent SPU was performed by a Paediatric surgeon. All patients subsequently had an ultrasound performed in radiology department (RPU) on which management was based. Diagnosis and images of SPU were reviewed by an independent radiologist blinded to results of the formal study. Of 7 children enrolled 5 were male. Age ranged from 3 months to 7 years (mean 2.64, SD 2.282), weight from 5.2kgs to 25.2kgs (mean 13.69, SD 6.721). Five out of the 7 children presented during day hours i.e. 8a.m.-5 p.m. (mean 12.72, SD 4.049). Mean time to SPU was 6.3 hours (SD7.1) and RPU was 8.3 hours (SD 7.6). SPU was earlier by 2 hours and correlation between SPU and RPU was 100 percent. SPU for intussusception can be performed early and accurately. Surgeons should train and use ultrasound as a reliable tool in evaluating the child with suspected intussusception.
为研究外科医生实施的超声检查（SPU）对澳大利亚新南威尔士州一家三级儿科机构中临床怀疑患有肠套叠的儿童的诊断准确性。招募了16岁以下因临床特征提示肠套叠而到急诊科就诊的儿童。在获得同意后，由一名儿科外科医生进行SPU检查。随后所有患者均在放射科进行了超声检查（RPU），并据此进行治疗。一名对正式研究结果不知情的独立放射科医生对SPU的诊断和图像进行了评估。在纳入的7名儿童中，5名是男性。年龄范围为3个月至7岁（平均2.64岁，标准差2.282），体重为5.2千克至25.2千克（平均13.69千克，标准差6.721）。7名儿童中有5名在白天（即上午8点至下午5点）就诊（平均12.72点，标准差4.049）。进行SPU的平均时间为6.3小时（标准差7.1），进行RPU的平均时间为8.3小时（标准差7.6）。SPU比RPU早2小时，且SPU与RPU之间的相关性为100%。用于肠套叠的SPU可以早期且准确地进行。外科医生应培训并使用超声作为评估疑似肠套叠儿童的可靠工具。
