Objective To investigate the diagnostic value of high frequency ultrasound for intestinal obstruction caused by Meckel's diverticulum in children.Methods From January 2018 to December 2023,41 children with intestinal obstruction caused by Meckel's diverticulum were selected as the study objects.The clinical data and ultrasound images of the children were analyzed retrospectively,and compared with the intraoperative and pathological results.Results In 41 patients,the average age of onset was(3.97±3.69)years,including 32 males and 9 females.Preoperative ultrasonic diagnosis of intestinal obstruction in 38 cases,diagnosis coincidence rate was 92.7%.Intestinal obstruction caused by Meckel's diverticulum was diagnosed in 9 cases,the diagnosis coincidence rate was 21.9%.During the operation,24 cases of Meckel's diverticulum intestinal compression were diagnosed,8 cases of abdominal hernia,1 case of intestinal torsion,and intussusception of 10 cases.Meckel's diverticulum had inflammation and adhesion in 6 cases and adhesion perforation in 1 case.A case of foreign body in diverticulum with perforation.Conclusions High-frequency ultrasound has an important diagnostic value for intestinal obstruction in children.Careful exploration can significantly improve the clinical diagnosis rate of intestinal obstruction caused by Meckel's diverticulum,and provide an important basis for early clinical operation.