高频超声在小儿胃肠道急腹症中的诊断价值  

The Diagnostic Value of Ultrasonography in Children Gastrointestinal Abdominal Emergency

作　　者：柏艳红[1,2] 唐凤珍[2] 郭建康[2] 唐中才 艾红[1] 

机构地区：[1]西安交通大学第一附属医院超声科,陕西西安710049 [2]西安交通大学医学院附属3201医院功能科,陕西汉中723000

出　　处：《航空航天医学杂志》2014年第12期1623-1625,共3页Journal of Aerospace medicine

摘　　要：目的探讨超声对小儿胃肠道急腹症的诊断价值。方法分析364例以胃肠道急腹症为主要临床表现患儿的CT诊断资料及超声诊断资料,将CT诊断符合率与超声诊断符合率进行对比性分析。结果急性阑尾炎、肠套叠、肠梗阻、肠系膜淋巴结炎、急性出血性坏死性肠炎、急性过敏性紫癜(腹型)、小儿肠憩室的CT诊断符合率明显低于超声诊断符合率,数据依次为:78.8%vs95.3%,86.6%vs100%,78.6%vs100%,92.0%vs100%,18.2%vs63.6%,10%vs60%,0%vs23%,差异均有统计学意义(P<0.05)。结论超声对小儿胃肠道急腹症的诊断具有重要价值,超声可作为诊断小儿胃肠道急腹症的首选影像学方法。Objective To explore the gastrointestinal tract in children gastrointestinal abdominal emergency ultra -sound diagnostic value .Methods The CT data and ultrasonic data of 364 cases children gastrointestinal abdominal e-mergency were Retrospectively analyzed .The diagnosis rate of CT and ultrasonography were compared .Results Com-pared with The diagnosis rate of ultrasonography ,the diagnosis rate of CT were significantly lower in acute appendicitis , intussusception ,intestinal obstruction , mesenteric lymphadenitis , acute hemorrhagic necrotizing enterocolitis , abdominal purpura, Pediatric diverticulosis.78.8%vs95.3%,86.6%vs100%,78.6%vs100%,92.0%vs100%,18.2%vs63.6%, 10%vs60%,0%vs23%respectively（P〈0.05）.Conclusions Ultrasonography has important value in the diagnosis of children gastrointestinal abdominal emergency .ultrasonography should be considered as the first imaging methods for di-agnosis of children gastrointestinal abdominal emergency .

关 键 词：超声诊断 小儿 胃肠道 急腹症 

分 类 号：R445.1[医药卫生—影像医学与核医学]