高频彩超在诊断儿童腹内疝的价值

The application of high frequency colour ultrasound in children with internal abdominal hernia

目的总结分析儿童腹内疝超声影像特征及误诊病例回顾,探讨高频彩超在儿童腹内疝诊断中的价值。方法回顾性分析2012年1月至2015年12月经腹部高频彩超诊断为腹内疝,并科行手术治疗的患儿35例(部分切除物行病理确诊),回顾性分析其术前超声图像特征,并比较腹平片及CT结果、术中所见及病理诊断。结果 30例经手术确诊为腹内疝。结论高频彩超对儿童腹内疝有较高的诊断率,但多数在出现肠梗阻后诊断。

Objective To summarize the characteristics of pediatric abdominal hernia ultrasonic image and review the misdiagnosis of cases, to explore the values of high frequency color doppler ultrasound in the diagnosis of internal abdominal hernia. Methods Retrospective analysis the cases which diagnosed of internal hernia by abdomen colour ultrasound in January 2012 to December 2015 at our medical center, as well as the patients had surgery in our medical center for surgical treatment of 35 children （part results with pathological diagnosis） , Retrospectively analyzed the characteristics of preoperative ultrasound image, and compare the results of abdominal operation results, and the pathological diagnosis. Results 30 cases confirmed by surgery for internal hernias. Conclusion ultrasound have higher value to exceed the diagnosis of internal hernia in childen, which most of the following intestinal obstruction in the diagnosis.