超声检查在小儿急性肠套叠中的诊断意义

Diagnostic Significance of Ultrasound in Children with Acute Intussusception

目的探究在小儿急性肠套叠诊断中采用超声检查的意义。方法择取2018年6月-2018年9月我院收治的62例急性肠套叠患儿,所有患儿均采用超声检查,并对所有患儿的临床资料进行回顾分析,评价超声检查在小儿急性肠套叠诊断中的效果。结果58例患儿出现明显的血流信号,其余4例没有检测出相应的血流信号。诊断表现:出现混合性包块,且所呈形态出现一定的规则,同时在小儿肠套叠处出现不同形态,其中横切面出现类同心圆征像,纵切面出现套筒征像。结论不仅可以通过超声这种无创的检查发现典型的肠套叠声像图,还可依据病灶的不同的血流信号,初步判断病变肠管的血运情况,为临床治疗提供参考,值得临床推广。

Objective To explore the significance of ultrasonography in the diagnosis of acute intussusception in children.Methods 62 children with acute intussusception were selected from June 2018 to September 2018.All of them were examined by ultrasound,and their clinical data were analyzed retrospectively.To evaluate the effect of ultrasonography in the diagnosis of acute intussusception in children.Results 58 cases showed obvious blood flow signal,the other 4 cases did not detect the corresponding blood flow signal.The diagnostic manifestations were mixed mass with regular shape and different shapes in the intussusception,in which the transverse section showed concentric circle sign and the longitudinal section showed the sleeve sign.Conclusion Not only the typical intussusception sonogram can be found by non-invasive ultrasound examination,but also the blood circulation of the diseased intestine can be preliminarily judged according to the different blood flow signals of the lesion,which provides a reference for clinical treatment and is worth popularizing.