小儿腹痛84例的超声诊断分析  

The value of ultrasonography in diagnosis of 84 children with abdominal pain

作　　者：杨清[1] 

机构地区：[1]广东省惠州市中医医院B超科,516001

出　　处：《实用医学影像杂志》2013年第3期223-224,共2页Journal of Practical Medical Imaging

摘　　要：目的探讨超声对小儿腹痛的诊断价值。方法回顾性分析84例以腹痛为主要症状的患儿超声声像图特点,比较不同疾病患儿超声表现的差异性。结果84例患儿中,超声诊断为肠系膜淋巴结炎34例,急性阑尾炎13例,诊断准确率100%;肠痉挛21例;肠系膜淋巴结结核4例,1例伴有结核性腹膜炎;肠套叠2例;淋巴瘤1例;9例B超下未发现阳性声像图表现,随访最后诊断为慢性胃炎6例,肠道蛔虫病2例,慢性阑尾炎1例。结论超声检查诊断小儿腹痛准确性较高,可以大大减少临床上诊断及治疗的盲目性,值得推广应用。Objective To explore the value of ultrasonography in diagnosis of chidren with abdominal pain. Methods The sonographic features of 84 patients with abdominal pain were analyzed, including the parenchymal organs, intestinal mesentery, peritoneal cavity, peritoneal, appendix, lymph nodes and other abnormal signs. Results In the 84 cases, thirty-four cases were diagnosed of mesenteric lymphadenitis by ultrasound; thirteen cases were acute appendicitis, the diagnostic accuracy rate was 100%; twenty-one cases were enterospasm; four cases were mesenteric lymph node tuberculosis, and 1 of the 4 cases with tuberculous peritonitis; two cases were intussusception; one cases wae lymphoma; nine cases were not found positive sound by the ultrasound. After follow-up 6 cases were diagnosed chronic gastritis, two cases were intestinal ascariasis, one case was chronic appendicitis. Conclusion Uhrasonography diagnosis of abdominal diseases is high in accuracy, which can greatly reduce the clinical diagnosis and treatment blindness, therefore it is worthy of popularization and application.

关 键 词：腹痛 超声检查 回顾性研究 

分 类 号：R445.1[医药卫生—影像医学与核医学]