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目的:研究超声诊断在小儿肠套叠中的诊断价值及意义。方法:选取2015年1月至2017年1月本院收治的61例临床拟诊为小儿肠套叠的患儿作为研究对象,采用飞利浦HD7型彩色多普勒超声进行检查。结果:61例疑似患儿中,54例具有典型肠套叠超声征像,经空气灌肠后得到证实,确诊率88.52%。非典型超声征像有:4例经手术确诊为阑尾炎,超声检查时发现非典型同心圆,直径较小,约1cm左右,肿大阑尾呈双边征,而非典型套筒征。2例空气灌肠也为发现包块的不典型患儿,考虑自行套叠肠管复位。1例确诊为腹股沟疝嵌顿,这是因为腹股沟疝体表体征不明显,外科医生未详细查体导致。结论:在对小儿肠套叠进行诊断时,可以采用超声诊断技术,准确率高,无创伤,方便快捷,可作为首选检查。
Objective: To study the diagnostic value and significance of ultrasonic diagnosis in children intussusception. Methods: From January 2015 to January 2017, 61 children with clinical intussusception in our hospital were enrolled as study subjects and examined by Philips HD7 color Doppler ultrasound. Results: Of the 61 suspected children, 54 cases had typical intussusception ultrasound signs confirmed by air enema, the diagnosis rate was 88.52%. Atypical ultrasound signs: 4 cases were diagnosed as appendicitis by surgery, ultrasound examination found atypical concentric circles, smaller diameter, about 1cm, enlarged appendix bilateral sign, rather than the typical sleeve sign. 2 cases of air enema is also found in atypical cases of mass, consider spontaneous intussusception reset. One case was diagnosed as an inguinal hernia incarceration, which is not obvious because of signs of inguinal hernia, and the surgeon did not check the result. Conclusion: In the diagnosis of children intussusception can be used ultrasound diagnosis technology, high accuracy, non-invasive, convenient and quick, can be used as the preferred examination.