高频彩色多普勒超声对162例小儿肠套叠诊断的价值分析  

The Value of High Frequency Ultrasound and Color Doppler Flow Imaging Diagnosis of 162 Pediatric Intussusception and Analysis

作　　者：余勇[1] 贺纯[1] 李颖清[1] 

机构地区：[1]广东省东莞市妇幼保健院超声科,广东东莞523120

出　　处：《现代医用影像学》2015年第5期770-772,共3页Modern Medical Imageology

摘　　要：目的:探讨高频彩色多普勒超声检查对小儿肠套叠的临床诊断价值。材料与方法:选取2012年1月至2014年6月在我院采用高频彩色多普勒超声诊断的肠套叠患儿,通过空气灌肠复位或手术确诊为肠套叠的162病例,对影像资料进行分析对比。结果:高频彩色多普勒超声检查的162肠套叠病例:患儿腹部影像呈明显的"同心圆"征、"假肾征",其中右侧腹部肠套叠患儿147例,占总体被检查人数的90.74%;而其中有11例无明显血流信号,提示有肠坏死的可能,手术后证实为肠坏死。结论:采用高频彩色多普勒超声对小儿腹部进行检查,肠套叠诊断准确率较高,其检查结果可以作为肠坏死的依据,可以作为早期肠套叠的临床检测依据。Purpose： To investigate the value of high frequency ultrasound （HFUS） and color doppler flow imaging （CDFI） in the diagnosis and clinical treatment of pediatric intussusception. Materials and Methods： 162 cases between January 2012 and June 2014 in our hospital by HFUS diagnosis of pediatric intussusception which confirmed air pressure enema reduction or operation, and then analysisly compare with image data. Results： Children with abdominal images show obvious multiple concentric rings ＂ , false kidney sign＂ by HFUS examination in 162 cases, which on the right side of were 147 cases, which accounting for 90. 74% . And there are 11 cases have no obvious blood flow signal, suggests the possibility of bowel necrosis, bowel necrosis was confirmed after the operation. Conclusion： High frequency color doppler ultrasound is a responsible method of examination with high diagnosis accuracy for pediatric intussusception. Its resuhs can suggest bowel necrosis and can be used as an early clinical examination of intussusception.

关 键 词：肠套叠 超声诊断 高频 多普勒 彩色 价值 分析 儿童 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.7[医药卫生—诊断学]