彩色多普勒超声在小儿腹痛诊断中的应用价值  

Application Value of Color Doppler Ultrasound in Pediatric Abdominal Pain Diagnosis

作　　者：陈丽丽[1] 何静波[1] 袁宏丽[1] 李皓[1] 张号绒[1] 

机构地区：[1]湖南省儿童医院特检科,长沙410007

出　　处：《中国医药导刊》2012年第10期1712-1713,1715,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨彩色多普勒超声在小儿腹痛诊断中的应用价值。方法:回顾性分析我院2011年1月至2011年10月因腹痛就诊、行腹部肠道彩色多普勒超声检查的患儿14617例的临床资料。结果:本组14617例因腹痛就诊的患儿行腹部肠道超声检查,发现异常共10927例,超声诊断与最后诊断符合者10779例(98.6%),不符合者148例(1.4%)。主要为腹腔淋巴结肿大8493例(77%),腹腔积液496例(4.5%),肠壁增厚637例(5.8%),肠套叠936例(8.5%,其中继发性肠套叠37例占3.95%),阑尾炎587例(5.3%),肠道蛔虫150例(1.4%),腹股沟嵌顿疝121例(1.1%),肠旋转不良60例(0.5%),肠梗阻182例(1.7%),腹腔肿块59例(0.5%),肠穿孔17例(0.15%),食道裂孔疝25例(0.22%),胆总管囊状扩张91例(0.87%)。结论:彩色多普勒高频率超声检查能给临床医生提供了极其重要的诊断信息或诊断思路,可作为小儿腹痛诊断的首选检查手段。Objective：To evaluate the application value of color Doppler ultrasound in the diagnosis of pediatric abdominal pain in children.Methods：We analysed retrospectively the clinical data in 14617 cases with abdominal pain hospitalized in our hospital from January 2011 to October 2011.Results：14617 cases with abdominal pain were received abdominal intestinal ultrasonography.The ultrasonography results revealed that 10927 cases with abnormalities.The consistency with ultrasonography and final diagnosis is 98.6%（10779 cases）,the inconsistency is 1.4%（148 cases）.The most common disease is the abdominal lymph nodes in 8493 cases（77%）,then peritoneal effusion in 496 cases（4.5%）,bowel wall thickening in 637 cases（5.8%）,936 cases of intussusception（8.5%,one secondary to intussusception in 37 cases3.95%）,appendicitis in 587 cases（5.3%）,intestinal Ascaris in 150 cases（1.4%）,inguinal incarcerated hernia in 121 cases（1.1%）,intestinal malrotation in 60 cases（0.5%）,intestinal obstruction in 182 cases（1.7%）,abdominal mass in 59 cases（0.5%）,intestinal perforation in 17 cases（0.15%）,esophageal hiatal hernia in 25 cases（0.22%）,cystic dilatation of the common bile duct in 91 cases（0.87%）.Conclusion：High frequency color Doppler ultrasonography can provides clinicians with important diagnostic information or diagnosis thinking,we suggested it should be given priority in diagnosis of pediatric abdominal pain.

关 键 词：超声 腹痛 小儿 

分 类 号：R445.1[医药卫生—影像医学与核医学]