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目的探讨小儿肠套叠的超声影像特点及其诊断价值。方法回顾性分析153例经空气灌肠复位成功和手术及临床证实的肠套叠患儿超声影像学特点。结果经B超检查发现腹腔包块呈典型“同心圆征“图像有149例,非典型图像4例;右侧腹多见,占96.08%,左侧腹占3.92%;其中右上腹101例,右下腹11例,右中腹35例,左上腹5例,左下腹1例;误诊1例。34例手术结果:围盲型18例,回结型7例,结肠6型,回回型3例。并发肠梗阻坏死2例。结论小儿肠套叠的超声图像较有特征性,超声检查是小儿肠套叠的首选检查方法。
Objective To investigate the characteristics and diagnostic value of intussusception in children. Methods A retrospective analysis of 153 cases of air enema reduction and surgical success and clinical confirmed intussusception in children with ultrasound imaging features. Results The results of B ultrasound examination showed that 149 cases showed typical “concentric circles” signs of abdominal mass, 4 cases of atypical pneumonia, more common on the right side of the abdomen, accounting for 96.08%, accounting for 3.92% of the left flank; 101 cases of the right upper abdomen, 11 cases of right lower quadrant, 35 cases of right middle abdomen, 5 cases of left upper quadrant and 1 case of left lower quadrant. One case was misdiagnosed. 34 cases of surgical results: 18 cases of blindness, conjunctival 7 cases, colon 6 cases, 3 cases of retrograde. Concomitant intestinal obstruction necrosis in 2 cases. Conclusion The intussusception in children with ultrasound imaging is more characteristic, ultrasound examination is the preferred method of intussusception in children.