Abstract: 【Abstract】〓Objective〓To investigate the diagnostic values of high-frequency color ultrasound on baby vomiting. Methods〓Ninety-four cases of baby patients with vomiting diagnosed by gastrointestinal ultrasound were analyzed retrospectively. Results〓Forty-four cases were surgical diseases, confirmed by patholog pathological examination, in which 30 cases were congenital hypertrophic pyloric stenosis, 11 cases were duodenal ileus(five cases of duodenal atresia, three of stenosis, three of congenital intestinal malrotation), and three cases were pyloric atresia. Forty-one cases were diagnosed by preoperative ultrasound, the diagnostic rate was 93.18%. The remaining 50 cases were associated with internal medical diseases, of which 40 cases were gastroesophageal reflux, 10 cases of pyloric spasm. Internal medical diseases were confirmed by ultrasound and radiography of upper digestive tract. The ultrasound diagnostic rate was 98%. Conclusion〓Ultrasonography is non-invasive, safe, simple, reproducible, and it can be used as a routine screening tool for infant vomiting.

Key words: High-frequency color ultrasound, Infant vomiting, Diagnosis

摘要： 【摘要】〓目的〓探讨高频超声检查技术在婴儿呕吐病因诊断中的临床价值。方法〓对94例呕吐婴儿患者胃肠超声诊断资料进行回顾性分析。结果〓44例外科疾病中,经手术病理证实,其中30例先天性肥厚性幽门狭窄,11例十二指肠梗阻(5例闭锁,3例狭窄,3例先天性肠旋转不良),3例幽门闭锁。术前超声诊断41例,诊断率为93.18%。其余50例属内科疾病,其中40例为胃食管反流、10例为幽门痉挛。内科疾病经治疗后均短期内复查超声明确诊断,并与上消化道造影检查结果相对照,超声诊断率98%。结论〓超声检查无创、安全、简便、重复性好,对查找婴幼儿呕吐病因可作为常规首选筛查手段。

关键词: 高频彩色超声, 婴幼儿呕吐, 诊断