ABSTRACT
Objective:To evaluate the clinical value of abdominal color Doppler ultrasonography in the differential diagnosis of colonic polyps in children.Methods:From January 2017 to January 2020, 300 children with suspected colonic polyps were studied.All patients were examined by colonoscopy and abdominal color Doppler ultrasound respectively.The results of colonoscopy were taken as the gold standard to evaluate the diagnostic efficacy of abdominal color Doppler ultrasound in the differential diagnosis of colonic polyps in children.The diagnostic accuracy of abdominal color Doppler ultrasound in diagnosis of colonic polyps in children with different location, type and focus size was analyzed.Results:The diagnostic sensitivity and specificity of abdominal color Doppler ultrasound for colonic polyps in children were 87.60%(113/129) and 97.08%(166/171), respectively.The overall diagnostic accuracy was 93.00% (279/300), the positive predictive value was 95.76%(113/118), and the negative predictive value was 91.21% (166/182). The diagnostic accuracy of abdominal color Doppler ultrasound were 85.71%(12/14), 83.33%(10/11), 87.50%(28/32), 86.79%(46/53) and 89.47%(17/19) for children's polyps in ascending colon, transverse colon, descending colon, sigmoid colon and rectum, and were 86.17%(81/94), 92.31%(24/26) and 88.89%(8/9) for juvenile polyps, black spot polyp syndrome and adenomatous polyps, respectively.There were no statistically significant differences between the two groups (χ 2=0.250, 0.721; P=0.993, 0.697). The diagnostic accuracy of abdominal color Doppler ultrasound in children with diameter ≤1 cm (38.09%) was significantly lower than that in children with 1 cm<diameter<3 cm and diameter ≥ 3 cm (95.38% and 100.00%) (χ 2=34.400, 33.404; P=0.000, 0.000). Conclusion:Abdominal color Doppler ultrasound can accurately diagnose children's colonic polyps, which is suitable for screening children's colonic polyps, and has high clinical application value.However, it has certain limitations for the detection of lesions with diameter ≤ 1 cm.
ABSTRACT
Objective To explore the clinical effect of Jiangru Formula(Herbal formula for soothing the liver,clearing heat,activating blood and removing stasis)combined with TCM surgical treatment for plasmocyte mastitis.Methods Fifty five patients with plasmocyte mastitis were treated with Jiangru Formula orally and TCM surgical treatment to see the effect of this method.Results The total effective rate was 100%.The average treatment period was(28?13.61)days.The recurrence rate was 1.82%.Conclusion The combination of Jiangru Formula with TCM surgical treatment for plasmocyte mastitis is effective in shortening the treatment period,reducing the recurrence rate and keeping the shape of the breast.