小儿再发性腹痛的超声声像图分析  

Analysis on the ultrasonic images of children with recurrent abdominal pain

作　　者：吴慧玲[1] 张景良[1] 邱燕红[1] 

机构地区：[1]广东省江门市新会区妇幼保健院超声科,529100

出　　处：《中国妇幼保健》2011年第21期3345-3347,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨超声对小儿再发性腹痛的诊断价值。方法:对符合小儿再发性腹痛诊断标准的358例患儿进行了腹部高频彩超检查,发现阳性声像者以图片方式存档,并对比患儿治疗前后的情况。结果:超声发现阳性声像256例,阳性检出率为71.51%;其中肠系膜淋巴结肿大220例(61.45%)、肠套叠15例(4.19%)合并淋巴结肿大6例、粪性阻塞性肠胀气12例(3.35%)、慢性阑尾炎3例(0.84%)合并淋巴结肿大2例、肠管节段性病变2例(0.56%)、肠道蛔虫病1例(0.28%)、胆道蛔虫病1例(0.28%)、肾结石2例(0.56%)。未发现阳性声像102例,占28.49%。结论:腹部高频彩超检查能及时发现小儿再发性腹痛的部分器质性病变,对该病的临床诊治及随访具有重要的诊断价值。Objective： To explore the diagnostic value of ultrasound in children with recurrent abdominal pain. Methods： 358 children meeting the diagnostic criterion of recurrent abdominal pain received abdominal high - frequency ultrasonography, and the children with positive results were filed in the form of images, the situations of the children before and after treatment were compared. Results： 256 children were found with positive images by ultrasound, the positive detection rate was 71.51% , including 220 children （61.45 % ） with enlargement of lymph nodes in mesenterium, 15 children （4. 19% , 6 children combined with enlargement of lymph nodes） with intussusception, 12 children （3.35%） with obstructive intestinal tympanites, 3 children （0. 84%, 2 children combined with enlargement of lymph nodes） with chronic appendicitis, 2 children （0. 56% ） with segmental lesions of intestinal canal, 1 child （0. 28% ） with intestinal ascariasis, 1 child （0. 28% ） with biliary ascariasis, 2 children （0. 56% ） with renal calculus. 102 children were not found with positive images, accounting for 28. 49%. Conclusion： Abdominal high- frequency ultrasonography can find partial organic lesions of children with recurrent abdominal pain timely, which has important diagnostic value for clinical diagnosis, treatment and follow - up of the disease.

关 键 词：小儿再发性腹痛 超声检查 高频彩超 

分 类 号：R725.7[医药卫生—儿科]