摘要
目的 探讨高频彩超诊断小儿肠系膜淋巴结炎的临床意义。方法 选择我院2012年1月至2013年9月间163例肠系膜淋巴结炎患儿，均通过高频彩超确诊，总结分析肿大淋巴结的数量、形态、大小、纵/横比、边5及内部回声、内部及周围的血流情况，测峰值流速（PSV）及阻力指数（RI）。所有患儿经过抗炎治疗后再行超声复查，比较治疗前后淋巴结的大小、数目及内部血流的变化。结果 所有患儿超声均显示有肠系膜淋巴结肿大，平均（18.5±1.7）个，淋巴结长短径比2.2±1.8；所有患儿经抗炎治疗后均于3~6天痊愈，超声复查显示治疗后淋巴结数量（6.3±1.5）个，长短径比1.0±0.9，与治疗前相比，差异均有统计学意义（P均〈0.05）。结论 高频彩超在小儿肠系膜淋巴结炎的诊断及治疗后随访中具有较高的临床价值，可作为急性小儿肠系膜淋巴结炎的首选影像学检查。
Objective To explore the clinical significance of high-frequency color ultrasonic in the diagnosis of children with mesenteric lymphadenitis. Methods 163 children with mesenteric lymphadenitis in our hospital from January 2012 to September 2013 were selected for retrospective analysis. All cases were diagnosed by high-frequency color ultrasonic. The number, shape, size, the ratio of long radius to short radius, edge and internal echo and blood flow of enlarged lymph nodes were summarized and analyzed. Ultrasound examination was taken again after anti-inflammatory treatment, and the changes of size, number and internal blood flow of lymph nodes were observed. Results Ultrasound showed that all cases had enlarged lymph nodes. The number and the ratio of long radius to short radius was 18.5±1.7 and 2.2±1.8 before therapy respectively, 6.3±1.5 and 1.0±0.9 after therapy respectively;and the differences were statistically significant （P〈0.05）. Conclusions High-frequency color ultrasonic has a high clinical value in the diagnosis and follow-up of children with mesenteric lymphadenitis, which can be chosen as the preferred imaging examination of children with mesenteric lymphadenitis.
出处
《临床医学工程》
2014年第6期687-688,共2页
Clinical Medicine & Engineering
关键词
肠系膜淋巴结炎
高频彩超扫查
小儿
Mesenteric lymphadenitis
High-frequency color ultrasonic
Children
