儿童美克尔憩室超声检查61例  

Sonographic findings of meckel＇ s diverticulum in children

作　　者：陈文娟[1] 张雪华[1] 段星星[1] 张号绒[1] 李佩岚[1] 

机构地区：[1]湖南省儿童医院特检科,湖南省长沙市410007

出　　处：《临床小儿外科杂志》2014年第3期208-210,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨儿童美克尔憩室及其并发症的超声影像特点。方法回顾性分析本院收治的61例经手术及病理检查确诊的美克尔憩室患儿超声表现。结果61例超声检查患儿中，提示美克尔憩室34例（符合率55．74％），其中合并肠套叠3例；27例超声未发现憩室，但提示肠梗阻17例，误诊为阑尾炎6例，腹腔积液2例，腹腔肠胀气2例。美克尔憩室的声像图特征：①当憩室内有积液时表现为囊壁增厚的不规则或半环状囊性结构（n=10）。②憩室呈不规则含有肠管样结构的混合回声包块或类似阑尾的低回声管状结构（n=15）。③憩室呈未充盈的、不能压缩的、中心黏膜呈花瓣样或环状强回声的盲腔样结构（n=6）。④憩室翻入肠腔并发肠套叠（n=3）。结论分析美克憩室超声图像的特征，结合临床表现，可大大提高超声诊断美克尔憩室的准确性。Objetive To explore children withMeckel＇ s＇ diverticulum and,its characteristics of ultrasound image. Methods Retrospective analysis ultrasound image of 61 children diagnosed asMeckel＇ s diverticulum by operation and pathology. Results 34 cases Meckel＇ s diverticulum were diagnosed by Utrasound, among which 3 cases had the combined intussusception, the other 27 cases were withoutdiverticulum. However, it showed intestinal obstructi0nin 17 cases, appendicitisin 6 cases, peritoneal effusion in 2cases, Abdominal flatulence in 2 cases. Ultrasound Characteristics of Meckelgdiverticulum ： 1. Irregular cystic with thicken wall or half ring structure whendiverticulum had effusion（ n = 10）. 2 Diverticulum,showed a mixed echogenicity withirregular and similar intestinal structur（ n = 15）. 3. diverticulum showed a blind cavity, could not compressed and withpetal-like or cyclic high echo in center mucosa（ n = 6）.4. In some cases complicated with intussusception （n = 3 ）. ConclusionThrough analysingthe imaging of ultrasound ,we can get more practical experience that good fordiagnosing Meckel＇ s diverticulum.

关 键 词：美克尔憩室 超声检查 儿童 

分 类 号：R726.56[医药卫生—儿科]