高频彩色多普勒超声对小儿肠套叠的诊断价值

Diagnostic value of high frequency color Doppler ultrasound for pedo-intussusception

目的探讨高频彩色多普勒超声对小儿肠套叠的诊断及其临床价值。方法回顾性分析高频彩色多普勒超声诊断、并经X-线下空气灌肠复位和手术证实的小儿肠套叠120例。结果120例小儿肠套叠，低频超声检出112例，检出率93．33％，高频彩色多普勒超声检出119例，漏诊1例，高频彩色多普勒超声检出率99．16％，11例超声提示肠坏死可能，手术后证实。结论高频彩色多普勒超声对诊断小儿肠套叠的检出率高，彩色多普勒可间接提示肠套叠是否合并有肠坏死可能，为临床选择治疗方案提供依据，是目前临床早期诊断小儿肠套叠的首选检查方法。

Objective To approach the diagnosis and clinical value of high frequency color Doppler ultrasound for pedo-intussusception. Methods To analyze the 120 cases pedo-intussusception retrospective,which has been diagnosed by high frequency color Doppler ultrasound and been certified by gaseous enema reduction and operation. Results In the 120 cases pedo-intussusception, 112 cases were detected by low frequency ultrasound,the detection rate was 93.33%. 119 cases were detected by high frequency color Doppler ultrasound, 1 case was missed diagnosis, the detection rate was 99. 16%, and 11 cases were prompted to he intestinal necrosis, which certified by operation. Conclusion The detection rate of high frequency color Doppler ultrasound is high for pedo-intussusception. It can prompt that intussusception combine ntestinal necrosis or not and offer evidence for selecting treatment protocols. It is the preferred check method for early diagnosis of pedo-intussusception.