儿童继发性肠套叠的超声表现  

Ultrasonographic characteristics and the cause of secondary intussusception in children

作　　者：辛悦[1] 贾立群[1] 王晓曼[1] 

机构地区：[1]首都医科大学附属北京儿童医院影像中心腹部超声室,北京100045

出　　处：《中华医学超声杂志（电子版）》2011年第5期1106-1115,共10页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的总结儿童继发性肠套叠的超声表现,探讨超声对寻找该病病理性诱发点的临床意义。方法对北京儿童医院2002年2月至2009年10月经术前超声诊断并经手术病理证实的44例继发性肠套叠患儿的超声声像图进行回顾性分析,总结不同原发病的儿童继发性肠套叠的超声表现。结果美克尔憩室16例;幼年性息肉(病)7例,P-J综合征5例;腹型紫癜5例;肠重复畸形2例;淋巴瘤2例;回肠炎性肌纤维母细胞瘤、空肠肠壁血管畸形、小肠肠壁真菌感染致慢性肉芽肿、回盲瓣炎性病变、回肠管状腺瘤、小肠黏膜下异位胰腺、回盲部类癌各1例。27例术前超声发现原发病,17例术前超声除套叠外无阳性发现。超声表现:中等回声结节10例,低回声包块4例,囊腔3例,肠壁增厚5例,境界模糊的不均匀回声团4例,多房性肿物1例。结论对于儿童继发性肠套叠,超声可以发现以及确诊部分原发病,是寻找套叠原因的首选检查方法。Objective To summarize the characteristics of secondary intussusceptions in children by ultrasound and the clinical significance was discussed to find pathological trigger points.Methods The ultrasonographic characteristics generated by the causes in 44 cases of secondary intussusceptions in children in Beijing Children s Hospital fromFebruary2002 to October2009 were retrospectively analysed and summarized,which were diagnosed by preoperative ultrasound and confirmed by surgery and pathology.Results The Mec...

关 键 词：超声检查 儿童 肠套叠 

分 类 号：R726.5[医药卫生—儿科]