CT检查在腹型过敏性紫癜诊断中的意义  

Significance of Computer Tomography on Diagnosis of Abdominal Type Henoch-Schonlein Purpura

作　　者：孙斌[1] 易军[1] 刘继炎[1] 李晓南[1] 

机构地区：[1]南京医科大学附属南京儿童医院普外科,南京210008

出　　处：《实用儿科临床杂志》2010年第9期660-662,共3页Journal of Applied Clinical Pediatrics

摘　　要：目的探讨CT检查在腹型过敏性紫癜(HSP)诊断中的意义。方法对本院2005年1月-2008年12月收治的32例以长期腹痛(腹痛时间大于3d)为主要表现的腹型HSP患儿腹部CT表现进行总结分析。32例患儿按入院时有无皮疹分为皮疹组和无皮疹组。其中皮疹组17例,无皮疹组15例。评价指标包括十二指肠、空肠、结肠有无水肿增厚,盆腔有无积液。结果 17例皮疹组患儿中15例(88.2%)CT表现为十二指肠和(或)小肠、结肠局部肠管节段性水肿增厚与盆腔少量积液。15例无皮疹组患儿中12例(80.0%)CT表现为十二指肠或(和)小肠、结肠局部肠管节段性水肿增厚与盆腔少量积液。2组比较差异无统计学意义(P>0.05)。2组患儿均未出现误诊手术。结论对于长期腹痛可疑腹型HSP患儿在未出现皮疹前行CT检查不仅可排除外科疾病,避免误诊手术,而且还对单纯表现为十二指肠和(或)空肠、结肠水肿增厚皮盆腔积液者提示腹型HSP,再结合进一步检查多能很快确诊,以尽早解决患儿的痛苦。Objective To explore the significance of computer tomography （CT） on diagnosis of abdominal type Henoch - Schonlein purpura（HSP）. Methods Thirty -two cases of abdominal type HSP with long -term（ 〉 3 days） abdominal pain were admitted and treated in Nanjing Children＇s Hospital from Jan. 2005 to Dec. 2008. The performance of CT were analyzed with duodenum, jejunum, colon edema and thickening, whether pelvic fluid. There were 17 cases of admission for typical skin - rash as skin - rash group, 15 cases of admission for non skin - rash as non skin - rash group. Results In skin rash group,there were 15 cases （88.2%） whose CT showed partial bowel edema and thickening with duodenum and（or） small intestine, colon and a small amount of fluid in pelvic. In non skin - rash group, there were 12 cases （ 80.0% ） whose CT had similar performance. There was no significant difference between the 2 groups （ P 〉 0.05 ）. Furthermore, no children was misdiagnosed and misoperated. Conclusions For children with long - term abdominal pain who are suspected of obdominal type HSP, CT can play an important role in the diagnosis before rash appears and avoid misdiagnose and misoperation.

关 键 词：计算机断层扫描 过敏性紫癜 腹型 诊断 

分 类 号：R725.5[医药卫生—儿科]