高频彩色多普勒超声对小儿肠套叠的诊断意义

Clinical significance of high frequency ultrasound and color doppler flow imaging in diagnosis of children intussusception.

【目的】探讨高频超声结合彩色多普勒超声(color doppler flow imaging,CDFI)对小儿肠套叠诊断的临床意义。【方法】回顾性分析高频彩超的显像诊断,并经X-线下空气灌肠复位和手术证实的小儿肠套89例。【结果】 89例小儿肠套叠,超声检出86例,超声检出率为96.6%,漏诊2例,误诊1例。2例B超提示肠坏死可能,手术后均证实。【结论】高频超声结合CDFI诊断小儿肠套叠具有检出率高的特点,同时能间接提示肠坏死可能,为复位方式的选择提供依据。应是目前早期诊断小儿肠套叠的首选检查方法。

【Objective】 To investigate the value of high frequency ultrasound（HFUS） and color doppler flow imaging（CDFI） in the diagnosis and clinical treatment of children intussusception. 【Methods】 Retrospective study was done on The patients with clinically suspected enteric intussusception underwent with combining HFUS and CDFI. 【Results】 In 89 cases of pediatric intussusception,ultrasound detected 86 cases,ultrasound detection rate was 96.6%,two cases of missed diagnosis and 1 case was misdiagnosis.2 cases of B-mode ultrasound prompted the possibility of intestinal necrosis were confirmed by surgery. 【Conclusions】 HFUS and CDFI may significantly increase the detection rate of enteric intussusception,and it can indicate intestinal necrosis indirectly.Therefore it should be the first choice for early diagnosis of children intussusception1.