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目的:探讨超声对小儿再发性腹痛的诊断价值。方法:对符合小儿再发性腹痛诊断标准的358例患儿进行了腹部高频彩超检查,发现阳性声像者以图片方式存档,并对比患儿治疗前后的情况。结果:超声发现阳性声像256例,阳性检出率为71.51%;其中肠系膜淋巴结肿大220例(61.45%)、肠套叠15例(4.19%)合并淋巴结肿大6例、粪性阻塞性肠胀气12例(3.35%)、慢性阑尾炎3例(0.84%)合并淋巴结肿大2例、肠管节段性病变2例(0.56%)、肠道蛔虫病1例(0.28%)、胆道蛔虫病1例(0.28%)、肾结石2例(0.56%)。未发现阳性声像102例,占28.49%。结论:腹部高频彩超检查能及时发现小儿再发性腹痛的部分器质性病变,对该病的临床诊治及随访具有重要的诊断价值。
Objective: To investigate the diagnostic value of ultrasound in recurrent abdominal pain in children. Methods: 358 cases of pediatric recurrent abdominal pain in line with diagnostic criteria for abdominal high frequency ultrasound examination found positive images were archived, and compared with children before and after treatment. Results: Positive images were found by ultrasound in 256 cases, the positive rate was 71.51%. Among them, 220 cases (61.45%) of mesenteric lymph nodes, 15 cases (4.19%) of intussusception, 6 cases of enlarged lymph nodes and fecal obstruction Flatulence in 12 cases (3.35%), chronic appendicitis in 3 cases (0.84%) with lymphadenopathy in 2 cases, intestinal segment disease in 2 cases (0.56%), intestinal ascariasis in 1 case (0.28%), biliary ascariasis 1 case (0.28%), 2 cases of kidney stones (0.56%). No positive images were found in 102 cases, accounting for 28.49%. Conclusion: Abdominal high-frequency color Doppler ultrasonography can detect some organic lesions in children with recurrent abdominal pain in time and has important diagnostic value in clinical diagnosis and follow-up.