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目的 探讨超声在小儿腹痛病因诊断及诊疗中的应用价值.方法 对我院97例小儿腹痛患者中随机抽取进行彩色多普勒超声诊断,且在超声引导下行水压灌肠治疗肠套叠,对其诊断结果进行总结分析,并将超声诊断与术后病理或其他检查及治疗后复诊结果相对照.结果 97例小儿腹痛,超声检查未见异常共32例占32.9%,超声诊断异常共65例占67.1%,超声诊断阳性患儿中共误诊2例,准确率97.9%.急性肠套叠1l例,占总体异常者11.3%,均经水压灌肠复位治疗成功.结论 超声对于明确小儿腹痛原因具有很高的价值,彩色多普勒高频超声在诊断急腹症的肠套叠具有无创性、高度敏感性和特异性,是诊断小儿肠套叠的首选方法,对指导其无创复位治疗有一定参考价值.“,”Objective To explore the application value of ultrasound in thediagnosis and treatment of abdominal pain in children. Methods Color Doppler ultrasonography was performed on 97 cases in our hospital were randomly selected children with abdominal pain,at the same time in the ultrasound guided hydrostatic enema in the treatment of pediatric acute intussusception were diagnosed and the diagnosis were analyzed,and the ultrasonic diagnosis and postoperative pathology or otherexamination and treatment after follow-up results contrast. Results 97 cases of abdominal pain in children,the ultrasound findings were abnormal in 32 cases accounted for 32.9%, ultrasound diagnosis of 65 cases of abnormal accounted for 67.1%, children with positive the misdiagnosis of ultrasound diagnosis in 2 cases, the accurate rate was 97.9%.Acute intussusception 11 cases, total abnormal 11.3%,the reduction of hydrostatic enema treatment success. Conclusions Ultrasound has high value for the specific causes of abdominal pain in children, high frequency color Doppler Ultrasound in the diagnosis of acuteintussusception is non-invasive, high sensitivity and specificity, is the first choice for the diagnosis of intussusception in children,have a certain reference value for guiding the noninvasivereduction treatment.