高频超声诊断小儿大叶性肺炎及炎性假瘤的价值  

Value of Ultrasonography in Children Pulmonary Inflammatory Diseases

作　　者：盖永浩[1] 蔡世峰[2] 吴世慧[1] 宋树良[3] 刘薇[1] 

机构地区：[1]临沂市人民医院超声诊疗中心,山东省临沂市276003 [2]临沂市人民医院放射科,山东省临沂市276003 [3]上海同济大学附属上海东方医院超声科

出　　处：《中国超声医学杂志》2005年第5期388-390,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨高频超声对小儿大叶性肺炎与肺炎性假瘤的诊断价值。方法回顾性分析1997～2004年经住院治疗确诊的小儿大叶性肺炎与肺炎性假瘤的声像图特征并随访观察。结果大叶性肺炎22例,肝变期均呈均匀低回声,内可见含液支气管壁形成的“双轨征”。随病变吸收患肺内逐渐出现气体强回声;肺炎性假瘤1例,呈中强回声与低回声相间的混合回声包块,内部散在小的不规则无回声区。大叶性肺炎病例均经超声诊断后住院治愈,炎性假瘤患儿手术后经病理证实。所有患者随访4个月～3年无复发。结论对于累及胸膜的小儿肺内炎性病变,超声能弥补X-线检查的不足,并及时、准确做出诊断。Objective To evaluate the feasibility in diagnosing Children-pulmonary inflammatory diseases using high frequency ultrasound.Methods The ultrasonographic features of all 23 patients were studied retrospectively.Results Among them,lobar pneumonia (LP) was in 22 cases and pulmonary inflammatory pseudotumor (PIP) in 1.All of the 22 patients with LP were made final diagnosing clinically and PIP was confirmed by pathology.The typical ultrasonographic features of LP were of low echogenicity due to cosolidated lung and of bi-railway sign caused by double bronchial wall together with effused liquid in it.The PIP was of multiple echogenicity.All patients were followed-up from 4 months to 3 years and no one relapsed.Conclusions Ultrasonic examination is helpful for diagnosis children-pulmonary inflammatory diseases which are not definited by X-ray.

关 键 词：大叶性肺炎 高频超声诊断 小儿 肺炎性假瘤 肺内炎性病变 声像图特征 2004年 回顾性分析 X-线检查 诊断价值 随访观察 住院治疗 支气管壁 病变吸收 病理证实 低回声 强回声 不规则 手术后 无复发 超声能 

分 类 号：R725.6[医药卫生—儿科]