高频彩超对小儿急腹症的临床应用价值  

Clinical Application Value of High Frequency Color Doppler for Acute Abdomen in Children

作　　者：乔海燕 夏莉莉[1] Qiao Haiyan;Xia Lili(Department of Ultrasound,Tongling People＇s Hospital,Tongling,Anhui 244000,Chin)

机构地区：[1]铜陵市人民医院B超室,安徽省铜陵市244000

出　　处：《中国超声医学杂志》2018年第8期710-713,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探究高频彩超诊断小儿急腹症的临床价值。方法选取我院收治的急腹症患儿125例,均接受高频彩超检查。对患儿一般情况、临床症状、体征、辅助检查结果及临床诊断结果等资料行回顾性分析,总结超声检查漏诊、误诊情况,计算诊断准确率。结果最终诊断结果:急性阑尾炎54例(43.2%),肠套叠37例(29.6%),急性肠梗阻20例(16.0%),腹股沟斜疝嵌顿14例(11.2%)。单纯高频彩超总诊断准确率为94.4%(118/125),其中:肠套叠为97.3%(36/37),急性阑尾炎为96.3%(52/54),急性肠梗阻为85.0%(17/20),腹股沟斜疝嵌顿为92.9%(13/14)。结论高频彩超在诊断小儿急腹症方面具有较高的准确率,可对临床诊断和治疗起重要指导作用。Objective To explore the clinical application value of high frequency color Doppler for acute abdomen in children.Methods 125 cases of acute abdomen admitted in our hospital were examined by high frequency color Doppler ultrasound.The general situation,clinical symptoms,signs,auxiliary examination results and clinical diagnosis results of children were reviewed,and the misdiagnosis and misdiagnosis of ultrasonic examination were summarized,and the accuracy of diagnosis was calculated.Results The final diagnosis：54 cases of acute appendicitis（43.2%）,37 cases of intussusception（29.6%）,20 cases of acute intestinal obstruction（16.0%）,and 14 cases of inguinal incarceration of oblique hernia（11.2%）.The total diagnostic accuracy of simple high frequency color Doppler ultrasound was 94.4%（118/125）,of which intussusception was 97.3%（36/37）,acute appendicitis was 96.3%（52/54）,acute intestinal obstruction was 85.0%（17/20）,and incarcerated inguinal hernia was 92.9%（13/14）.Conclusions High frequency color Doppler ultrasound has a high accuracy in the diagnosis of acute abdomen in children.It can play an important guiding role in clinical diagnosis and treatment.

关 键 词：急腹症 小儿 高频彩超 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R726.5[医药卫生—诊断学]