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目的探讨高频超声对肠套叠的诊断价值。方法总结分析2006年1月至2008年6月268例采用高频超声诊断肠套叠患者。使用仪器飞利浦5500及飞凡,患者取仰卧位,探头至上到下进行横切、纵切、斜切等多切面扫查,重点为右上腹结肠肝曲及回盲部,发现包块后,仔细观察包块的部位、大小、回声特点,并测量其范围。结果268例,年龄在2月～82岁之间;其中成年人7例,22～82岁;10岁以下为多;3月～31月为78例,268例中男性占190例,女性占78例。包块范围2.0～7.8cm之间,部位以右下8腹例,上腹部占12例,右侧腹34例,左上中腹占侧25例,余均位于右上腹部。伴有肠管局限性扩张62例,肠梗阻9例,肠间隙积液占83例,腹腔淋巴结58例。
Objective To investigate the diagnostic value of high frequency ultrasound in intussusception. Methods From January 2006 to June 2008, 268 patients with intussusception were diagnosed by high frequency ultrasound. Using instruments Philips 5500 and Feifan, the patient supine position, the probe from top to bottom crosscutting, slitting, chamfering and other multifaceted scanning, focusing on the right upper quadrant liver song and ileocecal Department, found that mass, carefully Observe the mass of the site, size, echogenicity, and measure its extent. Results 268 cases, ranging in age from February to 82 years of age; of which 7 adults, aged 22 to 82 years; more than 10 years of age; March to March was 78 cases, 268 cases of male accounted for 190 cases of female accounting for 78 cases. Mass range of 2.0 ~ 7.8cm, the site to the lower right 8 abdominal cases, 12 cases of upper abdomen, 34 cases of right flank, upper left side of the medial side accounted for 25 cases, the remaining are located in the upper right abdomen. 62 cases of intestinal limitations with expansion, intestinal obstruction in 9 cases, 83 cases of intestinal interstitial effusion, 58 cases of abdominal lymph nodes.