Application of color Doppler ultrasound combined with Doppler imaging artifacts in the diagnosis and estimate of congenital hypertrophic pyloric stenosis

• Published in: Scientific reports Vol. 7; no. 1; pp. 9527 - 6
• Main Authors: Ma, Suihong, Liu, Jianhua, Zhang, Youxiang, Yang, Yuwen, Jin, Hai, Ma, Xiaomei, Wei, Hongqin
• Format: Journal Article
• Language: English
• Published: England Nature Publishing Group 25.08.2017; Nature Publishing Group UK
• Subjects: Biomarkers; Blood flow; Case-Control Studies; Color; Diagnosis; Doppler effect; Female; Hemorrhage; Humans; Hyperplasia; Hypertrophy; Image Processing, Computer-Assisted; Infant; Infant, Newborn; Infants; Male; Mucosa; Pyloric Stenosis, Hypertrophic - congenital; Pyloric Stenosis, Hypertrophic - diagnosis; Retina; Statistical analysis; Stenosis; Ultrasonography, Doppler, Color - methods; Ultrasound
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-017-10264-7

Congenital Hypertrophic Pyloric Stenosis (CHPS) is a disease condition that is caused as a result of pylorus wall hypertrophy and hyperplasia. In this study, we used color Doppler flow imaging (CDFI) and Doppler artifacts technique to observe the blood flow of hypertrophic pylorus tissue and the dynamic imaging of liquid passing through the pyloric canal in CHPS infants. 65 cases of CHPS infants and 50 infants without CHPS served as control group. We found that there were statistically significant differences between the blood flow grade of muscular layer and mucosal layer between CHPS and control infants, but no significant differences were observed in the same group. Doppler artifacts technique demonstrated the whole process of contrast agent flow through pyloric canal was directly observed in 35 of 65 subjects, and the internal diameter of the pyloric canal was 1.93 ± 0.33mm.Conclusion that CDFI combined with color Doppler artifacts technique was proved to be effective to observe the distribution feature and blood flow grade in each layer of pyloric canal in CHPS patients. This method provides the evidence for judging the degree of pyloric stenosis clinically, and furnishes the basis of therapy along with its clinical significance and good application value.