腹部超声对小儿肠套叠的诊断价值  

The Diagnostic Value of Abdominal Ultrasound in Pediatric Intussusception

作　　者：王运欢 WANG Yun-huan(Ultrasound Department,Dandong First Hospital,Liaoning Dandong 118000)

机构地区：[1]丹东市第一医院超声科,辽宁丹东118000

出　　处：《中国医疗器械信息》2025年第4期120-122,共3页China Medical Device Information

摘　　要：目的:观察肠套叠患儿腹部彩超影像特点并评价其临床诊断价值。方法:选择2019年1月~2024年1月本院收治的40例疑似肠套叠患儿病例资料进行回顾分析,患儿住院期间均行手术治疗且术前完善经腹彩超及X射线检查,将患儿术中诊断作为金标准,观察肠套叠患儿腹部彩超影像特点并对其临床诊断价值进行评价。结果:40例疑似肠套叠患儿均行手术治疗,术中确诊肠套叠患儿34例,包括回结肠套叠5例(14.71%)、回盲肠套叠16例(47.06%)、小肠套叠5例(14.71%)、结肠套叠8例(23.53%);套叠位置:左上腹2例(5.88%)、右上腹23例(67.65%)、中上腹3例(8.82%)、右侧腹6例(17.65%);以手术结果为金标准,经腹彩超对肠套叠患儿诊断的准确度、灵敏度均明显优于X射线,但两组组间对比差异无统计意义,P均>0.05;肠套叠患儿彩超影像特点为:超声下患儿套叠区域肠管长轴处可见中等回声及高低相间结构,符合套筒样改变,短轴切面表现为同心圆状。结论:与X射线诊断相比,经腹彩超对肠套叠患儿具有更高的诊断准确度和灵敏度,具有较高的特异度,且操作简单,无副作用,是患儿早期诊断的首选筛查方式。Objective:To observe the characteristics of abdominal ultrasound in children with intussusception and evaluate its diagnostic value.Methods:A retrospective analysis was conducted on 40 suspected cases of intussusception admitted to our hospital from January 2019 to January 2024.All patients underwent surgery and underwent comprehensive transabdominal ultrasound and X-ray examinations.Intraoperative diagnosis was used as the gold standard.The characteristics of abdominal ultrasound images in children with intussusception were observed,and their clinical diagnostic value was evaluated.Results:All 40 suspected patients with intussusception underwent surgical treatment,and 34 children were diagnosed with intussusception during surgery,including 5 cases of ileocecal intussusception(14.71%),16 cases of ileocecal intussusception(47.06%),5 cases of small intestine intussusception(14.71%),and 8 cases of colon intussusception(23.53%);Overlapping positions:2 cases(5.88%)in the left upper abdomen,23 cases(67.65%)in the right upper abdomen,3 cases(8.82%)in the middle upper abdomen,and 6 cases(17.65%)in the right upper abdomen;Using surgical results as the gold standard,the accuracy,sensitivity,and sensitivity of transabdominal ultrasound in diagnosing children with intussusception were significantly better than those of X-ray,but there was no statistically significant difference between the two groups,with P>0.05;The characteristics of ultrasound imaging in children with intussusception are:under ultrasound,moderate echo and high-low alternating structure can be seen at the long axis of the intussusception area,which conforms to the sleeve like changes,and the short axis section shows concentric circles.Conclusion:Compared with X-ray diagnosis,transabdominal ultrasound has higher diagnostic accuracy and sensitivity for children with intussusception,higher specificity,simple operation,and no side effects.It is the preferred screening method for early diagnosis of children with intussusception.

关 键 词：经腹彩超 小儿肠套叠 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]