摘要
目的探讨高频彩色多普勒超声在儿童肠套叠诊断中的临床应用价值。方法回顾性分析64例经空气灌肠和/或手术证实的肠套叠患儿影像学资料,比较高频与低频彩色多普勒超声对肠套叠患儿诊断情况及图像质量。结果高频彩色多普勒超声显示,所有患儿套叠类型均为单套,61例(95.31%)患儿肠套叠位于右腹部,3例(4.69%)位于左上腹;62例(96.88%)多次于X线下进行空气灌肠治疗,9例(2.25%)进行手术治疗。高频彩色多普勒超声诊断符合率显著高于低频彩色多普勒超声,且优质图及良质图显著高于低频彩色多普勒超声,而差质图显著低于低频彩色多普勒超声,差异均有统计学意义。结论高频彩色多普勒超声能迅速、准确诊断儿童肠套叠,并能明确套叠肠壁血运情况,其图像质量显著优于低频超声,可作为儿童肠套叠的首选检查方法。
Objective To investigate the clinical application value of high frequency color Doppler ultrasonography （HFCDU） in diagnosis of child intussusceptions. Methods The imaging data of 64 children with intussusception confirmed by air enema and/or surgery was retrospectively analyzed. The diagnostic conditions and image quality of high-frequency and low-frequency color Doppler ultrasonography were compared. Results HFCDU revealed that all children had single set of the intussusceptions, the intussusceptions of 61 cases （95.31%） were located in the right abdomen and 3 cases （4.69%） in the left upper abdomen. Sixty-two cases （96.88%） were treated with air enema several times by X-ray, while 9 cases （2.25 % ） were given surgical treatment. The diagnostic coincidence rate and high-quality and good-quality images of HFCDU were markedly higher than those of low-frequency color Doppler ultrasonography, and low-quality ones obviously lower than low-frequency color Doppler ultrasonography. The difference had statistical significance. Conclusion HFCDU can quickly and accurately diagnose child intussusceptions and make clear blood supply of stacked intestinal wall. Its image quality is markedly better than the low-frequency ultrasound, so it can be used as an optimal examination method for child intussusceptions.
出处
《实用临床医药杂志》
CAS
2013年第15期162-164,共3页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11321029)
关键词
高频彩色多普勒超声
儿童肠套叠
诊断
high frequency color Doppler ultrasonography
child intussusceptions
diagnosis
