彩色多普勒超声对小儿常见急腹症疾病的诊断价值  

The diagnosis value of color Doppler ultrasound on common abdominal emergency of young children

作　　者：邢文静[1] 邹正霖[1] 叶维霞[1] 罗志远[1] 

机构地区：[1]泸州市人民医院超声科,四川泸州646000

出　　处：《西部医学》2016年第4期548-551,共4页Medical Journal of West China

基　　金：泸州市科技计划项目(2013-S-46)

摘　　要：目的探讨彩色多普勒超声在常见小儿急腹症疾病中的诊断价值。方法回顾性分析178例小儿外科急腹症病例的超声声像图资料,包括病灶的形态、内部回声、典型特征以及彩色多普勒血流情况,并与CT的诊断符合率进行对比性分析。结果 178例中,超声诊断急性阑尾炎57例,肠套叠16例,肠系膜淋巴结肿大60例,肠梗阻9例,其他21例。超声提示无明显异常的36例病例中,有10例后行CT检查,经临床及病理诊断为急性阑尾炎。结论在常见小儿急腹症的诊断中彩超和CT的诊断符合率无明显差异,但彩超检查具有无辐射、可重复操作、不需使用镇静剂或对比剂、价格低廉等优点,可作为临床诊断小儿腹症首选的影像检查方法。Objective To investigate the diagnosis value of the color Doppler ultrasound in common abdominal emergency of young children.Methods 178 cases of pediatric acute abdomen ultrasound image data were retrospectively analyzed.The mass shapes,internal echo,typical characteristics and CDFI were obseved.The diagnosis rate of ultrasonography and CT were compared.Results Of the 178 cases,ultrasonic diagnosis shown 57 cases with appendicitis,16 cases with intussusception,60 cases with mesenteric lymphadenitis,9cases with intestinal obstruction and 21 cases with no obvious abnormality.Of 36 cases with no obvious abnormality,there were 10 cases with appendicitis after CT scan.Conclusion The diagnosis rate of ultrasonography and CT was no significant difference in the common abdominal emergency of young children.The color Doppler ultrasound with no radiation,high repeatability,without the use of sedatives or contrast agents and low price,which can be used as the preferred clinical diagnostic imaging method.

关 键 词：彩超 急腹症 小儿 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]