动态超声检查在婴幼儿肠套叠诊断中的临床应用

Clinical Application of Dynamic Ultrasound Examination in Diagnosis of Infant Intussusception

目的探讨动态超声检查在婴幼儿肠套叠诊断中的临床价值,为临床医生诊治疾病提供参考,减少误诊和漏诊。方法回顾性分析2010年6月—2015年6月该院收治的128例确诊肠套叠住院患儿的诊断方法、依从性及医疗费用。结果⑴128例患儿中单次超声诊断15例;两次以上超声诊断82例。超声结合CT诊断28例。剖腹探查诊断3例。⑵97例患儿的超声诊断费用平均为147.62元,28例CT诊断费用平均为280元(P<0.01)。结论动态超声检查可以提高婴幼儿肠套叠诊断的准确率,增加患儿依从性,降低医疗费用。

Objective To discuss the clinical value of dynamic ultrasound examination in diagnosis of infant intussusception and provide reference for the diagnosis and treatment of diseases of the clinical doctor thus reducing the misdiagnosis and missed diagnosis. Methods （1） The diagnostic methods, compliance and medical costs of 128 cases of infants diagnosed with intussusception from June, 2010 to June, 2015 were retrospectively analyzed. （2） In the 128 cases of infants, the single ultrasonic diagnosis was in 15 cases, ultrasonic diagnosis more than 2 times was in 82 cases, ultrasound combined with CT diagnosis was in 28 cases, and the exploratory laparotomy diagnosis was in 3 cases. Results The mean cost of ultrasonic di- agnosis of 97 cases was 147.62 yuan, the mean cost of CT diagnosis of 28 cases was 280 yuan （P〈0.01）. Conclusion Dy- namic ultrasound examination can improve the accuracy rate of infant intussusception, enhance the compliance of the in- fants and reduce the medical costs.