赵云　吴军　朱玉　周恺

[摘要] 目的 探讨高频超声结合彩色多普勒超声在小儿肠套叠中的诊断价值。方法 方便选取该院在2015年4月—2018年3月期间收治的102例小儿肠套叠患儿，对其临床资料进行回顾性分析，所有患儿均给予高频超声结合彩色多普勒超声检查，观察高频超声、彩色多普勒超声下表现，分析超声检查结果。 结果 102例小儿肠套叠均经过X线空气灌肠复位及术后得到证实，其中，94例患儿经过X线空气灌肠得到复位，占92.16%，11例经手术得到确诊，占10.78%。在高频超声及彩色多普勒超声诊断下，小儿肠套叠在不同切面扫描下均存在特异性表现，超声确诊率为100.00%。结论 对于小儿肠套叠患儿以高频超声结合彩色多普勒超声诊断，准确率高，且无辐射，无创伤，这对患儿选择合理的复位方式具有重要价值，值得临床推广。

[关键词] 小儿肠套叠；高频超声；彩色多普勒超声；诊断价值

[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2018）06（c）-0185-03

[Abstract] Objective This paper tries to investigate the diagnostic value of high-frequency ultrasound combined with color Doppler ultrasound in children with intussusception. Methods A total of 102 children with intussusception were enrolled conveniently in the hospital from April 2015 to March 2018. The clinical data were retrospectively analyzed. All patients were given high-frequency ultrasound combined with color Doppler ultrasound. Observe the performance under high-frequency ultrasound and color Doppler ultrasound， and analyze the results of ultrasound examination. Results 102 cases of pediatric intussusception were all underwent X-ray air enema reduction and confirmed after operation. Among them， 94 cases were treated with X-ray air enema to be reduced， accounting for 92.16%. 11 cases were confirmed by surgery， accounting for 10.78%. Under the diagnosis of high-frequency ultrasound and color Doppler ultrasound， there were specific manifestations of intussusception in children under different section scans， and the ultrasound diagnosis rate was 100.00%. Conclusion For children with intussusception in children with high frequency ultrasound combined with color Doppler ultrasound diagnosis， high accuracy， and no radiation， non-invasive， which is important for children to choose a reasonable way to reset， it is worth clinical promotion.

[Key words] Pediatric intussusception； High-frequency ultrasound； Color Doppler ultrasound； Diagnostic value

肠套叠在临床儿科十分常见，为急腹症的一种，主要是因为伴有肠系膜结构的肠管套入相连接的另一端肠腔内引起。该疾病的好发年龄段以2岁以内的儿童比较多，在文献[1]研究中，80%的肠套叠均为2岁以内的小儿。临床诊断过程中，以往多根据患儿的临床症状，患儿体征及实验室检查结果等进行诊断，多出现误诊、漏诊的情况，贻误病情。近年来，随着超声仪器的不断发展及仪器性能的不断改善，高频超声与彩色多普勒超声对肠套叠的诊断获得家属及医生青睐[2]，为进一步探讨高频超声结合彩色多普勒超声在小儿肠套叠中的诊断价值，该文将2015年4月—2018年3月期间收治的102例小儿肠套叠患儿作为研究对象，现报道如下。……