摘要
目的探讨超声在小儿腹部肿块中的诊断价值。方法收集伴有腹部肿块患儿78例,所有患者均行超声检查,分析肿块的大小、位置、病理类型及诊断明确率。结果 78例患儿中,有76.9%经超声明确诊断,其余20.5%诊断不明确,2.6%误诊。腹部肿块主要病理类型为肝母细胞瘤、肾母细胞瘤、先天性胆囊肿、肾积水。超声明确诊断率最高为先天性胆囊肿,其次为肝母细胞瘤,误诊或原因不明率最高是重复肾,神经母细胞瘤、畸胎瘤误诊或不明原因也较高。肝母细胞瘤误诊1例为肾母细胞瘤;肾母细胞瘤1例误诊为肾错构瘤,1例误诊为肾结核;重复肾仅提示肾积水。结论超声检查具有无创、诊断快捷、无禁忌证、重复性高、价格低廉且准确诊断率高的优点,对小儿腹部包块诊断具有极高价值。
Objective To explore the value of ultrasound diagnosis in children with abdominal mass, Methods 78 child patients were collected, all patients were done ultrasound examination, the tumor size, location,pathological type and diagnosis rate were analyzed. Results Among 78 child patients,76.9% were diagnosed by ultrasound, and the remaining 20.5% were unclear diagnosised, 2.6% were misdiagnosised. The main pathological abdominal mass type were hepatoblastoma, wilms tumor, congenital bile cyst, hydronephrosis. Ultrasoniediagnosis of congenital bile cyst rate was the highest,followed by the hepatoblastoma, the highest rate of misdiagnosis or unexplained were repeated renal,neuroblastoma, teratoma misdiagnosis or unexplainedhigh. 1 cases of wilms tumor was Misdiagnosis as renal hamartoma ; 1 cases was Misdiagnosised as renal tuberculosis, repeated kidney only showed hydronephrosis. Conclusion Ultrasonography is anoninvasive, quick diagnosis, no contraindication, high repeatability, low price, and the accurate diagnosis ratehigh somewhat, lump diagnosis of pediatric abdominal has very high value.
出处
《当代医学》
2015年第21期42-43,共2页
Contemporary Medicine
关键词
超声
腹部肿块
肝母细胞瘤
肾母细胞瘤
Ultrasonography
Abdominal mass
Hepatoblastoma
Wilms tumor
