摘要
目的探讨高频超声在小儿肠系膜淋巴结肿大疾病鉴别诊断中的价值。方法对经过临床确诊的116例病因不同的肠系膜淋巴结肿大患儿,根据病因分为6组,分别对每组高频超声检查后的声像图资料进行分析,包括肠系膜淋巴结的大小、分布、形态、包膜、内部回声及彩色多普勒血流(CDFI)情况等特点作出归纳。结果116例肠系膜淋巴结肿大的患儿中,单纯性肠系膜淋巴结炎67例,超声检出64例,超声诊断符合率95.5%;急性肠炎26例,超声检出22例,超声检出符合率84.6%;阑尾炎13例,超声检出11例,超声检出符合率84.6%;肠套叠5例,彩超检出4例,超声检出符合率80.0%;淋巴结核3例,恶性淋巴瘤2例,彩超均全部检出,超声检出符合率均为100.0%。结论高频彩超对小儿肠系膜淋巴结肿大疾病的鉴别诊断准确率高,对临床治疗具有指导作用,可作为小儿肠系膜淋巴结肿大疾病疑似患儿的首选检查手段。
Objective To reveal the clinical value of high-frequency ultrasonography in differential diagnosis for mesenteric lymphadenectasis in children. Methods 116 children with mesenteric lymphadenectasis were divided into 6 groups according etiological factors. The size, distribution, capsule, internal echo and CDFI of mesenteric lymph nodes were summarized. Result 67, 26, 13, 5, 3 and 2 cases were simple mesenteric lymphadenectasis, acute enteritis, appendicitis, intussusception, tuberculous lymphadentis and malignant lymphoma, respectively. Diagnostic coincidence rate of the diseases were 95. 5%, 84. 6%, 84. 6%, 80. 0%, 100%, and 100%, respectively. Conclusion Highfrequency ultrasonography is valuable in the differential diagnosis of mesenteric lymphadenectasis in children.
出处
《西部医学》
2008年第5期1092-1093,共2页
Medical Journal of West China
关键词
高频彩超
小儿
肠系膜淋巴结
鉴别诊断
High-frequency ultrasonography
Children
Mesenteric lymph node
Differential diagnosis
