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目的研究分析高频彩色多普勒超声在诊断小儿腹痛中的应用价值。方法回顾性分析2013年1月至2015年1月在西安市北方医院接受治疗的小儿腹痛患儿70例,对其二维及高频彩色多普勒超声声像图表现进行分析,并结合术后病理检查结果明确诊断疾病类型,评估超声检查的诊断准确率。结果经综合分析超声诊断与病理检查,急性阑尾炎、急性肠系膜淋巴结炎、嵌顿疝及原发性肠套叠的诊断准确率分别为100.0%、93.3%、100.0%及75.0%,总诊断准确率为97.1%,且各种疾病的超声声像图表现突出。结论应用高频彩色多普勒超声检查对小儿腹痛的诊断价值较高,对临床诊断与治疗具一定的指导意义,可作为小儿腹痛诊断的首选检查手段在临床推广应用。
Objective To study the value of high frequency color Doppler ultrasonography in the diagnosis of children with abdominal pain. Methods A retrospective analysis of 70 children with pediatric abdominal pain treated in the North Hospital of Xi’an from January 2013 to January 2015 was performed. The results of two-dimensional and high-frequency color Doppler ultrasonography were analyzed. Post-pathological examination results clearly diagnosed the type of disease, to assess the diagnostic accuracy of ultrasound. Results The diagnostic accuracy of ultrasonic diagnosis and pathological examination, acute appendicitis, acute mesenteric lymphadenitis, incarcerated hernia and primary intussusception were 100.0%, 93.3%, 100.0% and 75.0% respectively. The diagnostic accuracy 97.1%, and various diseases of ultrasonography outstanding performance. Conclusion The application of high-frequency color Doppler ultrasonography in diagnosis of pediatric abdominal pain is of high value, which is of guiding significance in clinical diagnosis and treatment. It can be used as the first choice in the diagnosis of abdominal pain in children.