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目的探讨小儿肠套叠的超声声像图特征及其诊断价值。方法急诊采用高频探头及凸阵探头与彩色多普勒相结合对78例肠套叠患儿的临床资料进行回顾性分析。结果 78例均行彩超检查,其中75例探及典型肠套叠包块,3例为不典型包块。78例患儿当天均行空气灌肠,75例典型肠套叠及2例不典型包块证实为肠套叠1,例不典型包块在空气灌肠时未见明显软组织肿块4,例进行手术,其中1例为习惯性肠套叠3次,最后行手术复位成功。结论小儿肠套叠的超声声像图的横断面为“同心圆”征,纵切面呈“套筒”征,对早期诊断及临床治疗有重要价值。
Objective To investigate the characteristics of ultrasonography in children with intussusception and its diagnostic value. Methods The clinical data of 78 children with intussusception using high-frequency probe and convex array probe combined with color Doppler were retrospectively analyzed. Results 78 cases underwent color Doppler ultrasound examination, of which 75 cases of probing into the typical intussusception and 3 cases of atypical mass. 78 cases of children with air enema on the same day, 75 cases of typical intussusception and 2 cases of atypical mass confirmed as intussusception 1 cases of atypical mass in the air enema no obvious soft tissue mass 4, for example, surgery, One case of customary intussusception three times, the last line of surgical reduction was successful. Conclusion The transus intussusception of pediatric intussusception is a “concentric circle” sign and the longitudinal section is “sleeve” sign, which is of great value in early diagnosis and clinical treatment.