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目的探讨彩色多普勒超声检查在老年人肠套叠临床诊断中的价值。方法对手术病理证实的23例老年肠套叠患者,回顾其术前彩色多普勒超声检查结果,分析老年人肠套叠的病因、套叠类型及超声影像特点。结果小肠型肠套叠6例(26.1%),小肠-结肠型肠套叠8例(34.8%),结-结肠型肠套叠9例(39.1%)。术前超声定位准确19例(82.6%),超声检出肠套叠21例,诊断正确率91.3%。超声表现直接征象有“同心圆”征、“套筒”征14例,间接征象有肠壁增厚“假肾”征3例,肠梗阻7例。结论彩色多普勒超声检查对老年人肠套叠定位准确、确诊率高,并可初步判断其病因,对疾病的诊断、治疗有重要的临床价值。
Objective To investigate the value of color Doppler ultrasonography in the diagnosis of intussusception in the elderly. Methods Twenty-three elderly patients with intussusception confirmed by surgery and pathology were retrospectively analyzed the color Doppler echocardiography and the etiology, intussusception and ultrasound imaging characteristics of the elderly patients with intussusception. Results Small intestinal intussusception in 6 cases (26.1%), small intestine - colon intussusception in 8 cases (34.8%), colon - type colon intussusception in 9 cases (39.1%). 19 cases (82.6%) were correctly located by ultrasound and 21 cases were intussusception by ultrasound, the correct rate of diagnosis was 91.3%. Ultrasound direct signs of symptoms such as “Concentric ” sign, “sleeve ” sign in 14 cases, indirect signs of intestinal wall thickening “fake kidney ” sign in 3 cases, intestinal obstruction in 7 cases. Conclusions Color Doppler ultrasound is an accurate and accurate diagnosis of intussusception in the elderly. It can be used to determine the cause of the disease and has important clinical value in the diagnosis and treatment of the disease.