摘要
目的探讨使用高频彩超经腹壁诊断小儿肠系膜淋巴结炎的临床价值。方法应用高频彩超对临床疑似肠系膜淋巴结炎患儿58例进行检查,常规检查肝,胆,胰,脾,肾,阑尾后,加压探头重点扫查右下腹,注意观察淋巴结的大小,数量,形态及其内部及周边的血流情况,并于抗炎治疗7天和14天后复查。结果49例患儿在右下腹探及肿大的淋巴结回声,并具有较典型的声像图特征,抗炎治疗后复查淋巴结有明显减少和缩小,其内的血供也明显减少。2例在右下腹探及肿大的阑尾回声,并被术后病理所证实,7例超声检查无异常,经胃肠道解痉治疗后,症状缓解。结论应用高频彩超能为临床诊断肠系膜淋巴结炎提供可靠依据。
Objective To discuss the clinical significance of high--frequency Doppler ultrasound in diagnosis of mesenteric lymphadenitis in children. Methods 58 cases of children suspected to be acute mesenteric lymphadenitis were examined with colour Doppler ultrasonography. Liver,gallbladder,pancreas,spleen,kidney and vermiform appendix were routinely tested, the right lower quadrant was mainly observed with a pressurized transducer. The size,shape,number,interior and ambitus bloodstream of lymph nodes were observed and re examination was done 7,14 days after anti- inflammatory treatment. Results The echo of intumescent lymph nodes and typical sonogram characteristic were detected in the right lower quadrant in 49 children patients, the lymph nodes were decreased and contracted after anti inflammatory treatment,the interior blood supply was also decreased. The echo of intumescent appendix caeealis was also be detected in 2 cases and the result was be approved by post-operating pathology. 7 cases were normal and the symptoms were relaxed after gastrointestinal spasmolysis treatment. Conclusion The high frequency colour Doppler ultrasonography can provide reliable evidences for diagnosis of mesenteric lymphadenitis.
出处
《安徽医学》
2006年第4期289-290,共2页
Anhui Medical Journal
关键词
高频彩超
肠系膜淋巴结炎
诊断
High frequency eolour Doppler ultrasonography
Mesenteric lymphadenitis in Clildren
Diagnosis
