Journal of the Korean Pediatric Society 1994;37(11):1595-1599.
Published online November 15, 1994.
Ultrasonographic Diagnosis by Pyloric Volume Measurement in Congenital Hypertrophic Pyloric Stenosis
Soon Kil Lee1, Jae Wha Oh1, Yeon Kyun Oh1, Chang Guhn Kim2
1Department of Pediatrics, School of Medicine, Wonkwang University, Iri, Korea
2Department of Radiology, School of Medicine, Wonkwang University, Iri, Korea
선천성 비후성 유문협착증에서 유문부체적을 이용한 초음파 진단의 의의
이순길1, 오재화1, 오연균1, 김창근2
1원광대학교 의과대학 소아과학교실
2원광대학교 의과대학 방사선학교실
Abstract
Real-time ultrasonogram was performed in 31 Pt. With CHPS, who was admitted at the pediatric department of Wonkwang University hospital from January 1991 to June 1993. Those who had positive results of pyloric volume for diagnosis of CHPS and were confirmed by surgery. The results were at follows, 1) The average ultrasonographic measurements of pyloric muscle thickness, pyloric diameter, pyloric length were 4.9¡¾1.09mm, 14.42¡¾2.69mm, 19.17¡¾2.37mm, and pyloric volume was 3.26¡¾1.39mm. 2) The diagnostic reliabilities with the ultrasonographic measurements of muscle thickness(>4mm), pyloric diameter(>12mm) and pyloric length(>15mm) by Stunden's criteria in 31 cases were compared, which were not significant difference among them. 3) In ultrasonographic measurements of 31 cases for diagnosis of CHPS, positive results with 3 parameters were 80.6%, and with 2 parameters and double tract signs were 87.1%. So, we conclude pyloric volume greater than 1.4ml was the most reliable parameter, which was satisfied 100% with diagnosis of CHPS.
Key Words: Congenital hypertrophic pyloric stenosis, Ultrasonogram, Pyloric volume


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