彩色多普勒超声诊断小儿肠套叠的临床意义  

Clinical Value of Color Doppler Ultrasound in the Diagnosis of Intussusception in Children

作　　者：邓萍[1] 赵开银 王显志[1] 郭媛媛[1] 陈宇[1] 

机构地区：[1]遂宁市中心医院超声科,四川遂宁629000

出　　处：《华西医学》2014年第5期928-930,共3页West China Medical Journal

摘　　要：目的探讨彩色多普勒超声诊断小儿肠套叠的临床意义。方法对2010年1月-2012年12月经临床X线空气灌肠及手术证实的150例肠套叠患儿的彩色多普勒超声检查结果进行回顾性分析。结果 150例小儿肠套叠中坏死性18例,单纯水肿性132例;回盲型122例,结肠型22例,小肠型6例。手术治疗30例,临床X线空气灌肠复位120例。超声诊断正确144例,符合率96.0%,误诊6例,误诊率4.0%。结论超声诊断小儿肠套叠准确性高、方法简便、迅速、无创伤、无辐射,对临床选择治疗方式有十分重要的指导意义。Objective To study the clinical significance of color Doppler ultrasound in the diagnosis of intussusception in children. Methods We retrospectively analyzed the color Doppler ultrasound results of 150 children with intussusception confirmed by X-ray air enema and surgery between January 2010 and December 2012. Results The 150 children included 18 cases of necrosis, and 132 cases of simple edema; there were 122 cases of ileocecal intussusception, 22 cases of colon, and 6 of small intestine. Surgical treatment was performed for 30 cases, and 120 cases were treated with X-ray air enema reduction. Ultrasonic diagnosis was correct in 144 cases with an accurate rate of 96.0%; 6 cases were misdiagnosed, and misdiagnosis rate was 4.0%. Conclusion Ultrasound in the diagnosis of children intussusception is simple, rapid, non-invasive, with no side-effects of radiation exposure, and selection of this method clinically has a very important significance.

关 键 词：超声 彩色多普勒 肠套叠 儿童 

分 类 号：R445.1[医药卫生—影像医学与核医学]