超声检查小儿肠系膜淋巴结肿大的临床意义  

Clinical Significance of Ultrasonography in Children With Mesenteric Lymph Node Enlargement

作　　者：严建荣 金建文 

机构地区：[1]苏州市吴江区精神康复医院功能科,江苏苏州215200 [2]苏州市吴江区第一人民医院功能科,江苏苏州215200

出　　处：《中国继续医学教育》2017年第22期84-86,共3页China Continuing Medical Education

摘　　要：目的探讨小儿肠系膜淋巴结肿大实施超声技术检查的临床价值。方法将我院儿科2015年12月—2017年5月门诊治疗的32例肠系膜淋巴结肿大患儿(Ⅰ组)纳入研究,给予彩色多普勒超声技术检查,对比本组治疗前后的淋巴结纵、横径,并与同期32例健康体检小儿(Ⅱ组)的超声诊断资料作比较评估。结果与Ⅱ组相比,Ⅰ组的横径、纵径均明显增大,比较差异有统计学意义(P<0.05),但平均纵横比相比,两组差异无统计学意义(P>0.05)。Ⅰ组治疗后的横径、纵径均明显缩小,与治疗前相比,差异有统计学意义(P<0.05)。结论超声技术操作简单、无创,可重复性好,能够作为诊断及鉴别小儿肠系膜淋巴结肿大的一种辅助检查技术。Objective To investigate the clinical value of ultrasonography in children with mesenteric lymph node enlargement. Methods From December 2015 to May 2017, 32 children with mesenteric lymph node involvement （group I） in our hospital were enrolled, color doppler ultrasonography was performed, longitudinal and transverse diameters of lymph nodes before and after treatment were compared and compared with the diagnostic data of 32 cases of children （group II） in the same period. Results Compared with group II, the transverse diameter and longitudinal diameter of group 1 were significantly increased, the difference was statistically significant （P 〈 0.05）, However, the mean aspect ratio was not statistically significant between the two groups （P 〉 0.05）. The transverse diameter and longitudinal diameter of group 1 were significantly reduced, compared with before treatment, the difference was statistically significant （P 〈 0.05）. Conclusion The ultrasonic technique is simple, noninvasive and reproducible, and can be used as an auxiliary examination technique for the diagnosis and identification of mesenteric lymph nodes in children.

关 键 词：小儿肠系膜淋巴结肿大 超声技术 临床价值 

分 类 号：R445[医药卫生—影像医学与核医学]