彩色多普勒超声诊断小儿肠套叠的临床意义

摘要

Objective To study the feature and value of color doppler ultrasonographg for diagnosing the intussusception in children. Methods To review and analyze medical history, 79 children with intussusception confirmed by X-ray gasous enema reduction or operative reduction were underwent color doppler ultrasonographg. Results 79 cases of intussusception in children, 75 cases of right abdomen intestinal sleeve,4 cases of right-sided abdominal intestinal sleeve, 79 cases underwent color doppler ultrasonographg examination, 74 cases of intussusception X-ray gasous enema reduction, 5 cases of intussusception operation. The deferent cross section of color doppler ultrasonographg shows“kidney sign”,“target sign”. Conclusion Color doppler ultrasound plays an important role in the diagnosis of intussusception in children and its clinical significance.%　　目的探讨彩色多普勒超声对小儿肠套叠的临床价值。方法选择79例经彩色多普勒超声诊断为小儿肠套叠的资料进行回顾性分析,所有病例均经空气灌肠或手术复位证实。结果79例小儿肠套叠经彩色多普勒超声检查,75例为右侧腹部肠套,4例为非右侧腹部肠套；经X线透视空气灌肠成功复位74例,手术5例。肠套叠的超声特征性改变为“同心圆征”和“套筒征”。结论彩色多普勒超声检查对小儿肠套叠的诊断有特异性,是目前诊断小儿肠套叠的首选方法,对临床治疗有重要参考价值。