超声对伤寒的腹部声像图特征价值的探讨  

Investigation of the value in the abdominal ultrasound features of typhoid fever

作　　者：周剑宇[1] 金宏江 丁萍[1] 孙春桂[1] 史春娟[1] 蔡燕娥 

机构地区：[1]浙江省台州市中心医院超声科,浙江台州318000

出　　处：《医学影像学杂志》2010年第2期211-213,共3页Journal of Medical Imaging

摘　　要：目的:探讨超声对伤寒的腹部超声特征的价值,证实腹部超声在伤寒诊断中的有效性。方法:对我院收治发热3天内疑似伤寒的239例患者进行腹部超声检查,并在7天、14天、21天对该病例进行随访观察。并对86例肥大试验及沙门氏菌培养阳性患者超声表现进行回顾性分析。结果:超声表现:脾大(73例,84.9%);肠管壁增厚(69例,80.2%);回盲部淋巴结肿大(72例,83.7%);阑尾肿大(32例,37.2%);肝肿大(26例,30.2%);胆囊炎症性改变(31例,36%)。结论:脾、肝肿大、回盲部肠壁增厚、肠系膜淋巴结肿大、胆囊改变和阑尾肿大是早期伤寒的特征性超声表现,超声对血清学检查可疑及培养阴性的伤寒病例的诊断具有很高的敏感性。Objective：To investigate the value of ultrasound（US） feature in abdomen,and to establish the efficacy of ultrasound of the abdomen as a diagnostic test in Typhoid fever.Methods：Abdominal Ultrasound was performed within three days of the onset of fever in 239 cases suspected to be having typhoid fever,subsequent follow-up scans were performed at seven days,fourteen days and twenty-one days to all patients,respectively.Results：The ultrasound results of 86 patients,who had the widal and salmonella culture positive,were analysed retrospectively.Results：The US findings were as follows： splenomegaly in 73 cases（84.9%）;bowel wall thickening in 69 cases（80.2%）;ileocecal junction lymphadenectasis in 72 cases（83.7%）;appendix edema in 32 cases（37.2%）;hepatomegaly in 26 cases（30.2%）;cholecystic change in 31 cases（36%）.Conclusion：Ultrasound findings of splenomegaly,hepatomegaly,ileocecal junction bowel wall thickening,mesenteric lymphadenopathy,cholecyst change,appendix edema are diagnostic features of typhoid in early stage.Ultrasound has high sensitivity for the diagnosis of the patients whose serology tests are uncertainty and cultures are ngative.

关 键 词：伤寒 腹部 超声 诊断 

分 类 号：R561.3[医药卫生—呼吸系统] R445.1[医药卫生—内科学]