摘要
目的探讨临床小儿腹腔内肿大淋巴结采用超声技术检查有效检出效果及对各种类型的腹腔淋巴结肿大鉴别诊断价值。方法选择病发腹腔内肿大淋巴结的患儿45例,均为我院儿科2016年2月~2017年10月收治,设为观察组,采用超声予以检查,观察病变检出情况,并分析不同类型腹腔淋巴结肿大鉴别诊断要点。同时,同期在抽取正常健康查体小儿45例,设为对照组,同行超声检查,对比两组淋巴结大小及血流差异。记录观察组治疗后淋巴结改善情况。结果 45例腹腔肿大淋巴结患儿中,狭长型23例,占51.1%;偏心性宽阔型8例,占17.8%;向心性宽阔型14例,占31.1%。以狭长型最为多见,与其他两种病理类型对比具有统计学差异(P<0.05)。观察组所选取的患儿与对照组正常小儿对比,淋巴结长径、短径、纵横比值在居更高水平,具有统计学差异(P<0.05)。相较治疗前,观察组患儿在治疗后淋巴结长径、短径、纵横比值明显缩小,对比具有统计学差异(P<0.05)。结论针对临床收治的腹腔内肿大淋巴结患儿,采用超声检查,可为明确病变类型、大小、位置提供准确参考依据,便于临床医生对不同的腹腔内肿大淋巴结鉴别诊断,根据超声检出情况行个体化治疗,可促淋巴结最大程度缩小,促使预后显著改善,故有非常重要的推广应用价值。
Objective To evaluate the role of ultrasound in the detection of enlarged intraperitoneal lymph nodes in children and the value of differential diagnosis of various types of abdominal lymphadenopathy.Methods A total of 45 children with enlarged intraperitoneal lymph nodes were selected from February 2016 to October 2017 in paediatrics department of our hospital as observation group.The patients of the observation group were examined by ultrasound,and the pathological changes were observed,the differential diagnosis points of different types of abdominal lymph nodes were analyzed.At the same time,45 normal healthy children were selected as control group.The difference of lymph node size and blood flow between the two groups were compared.The improvement of lymph node was recorded in the observation group after treatment.Results Among 45 children with enlarged intraperitoneal lymph nodes,23 cases were of narrow type(51.1%),8 cases of eccentric broad type(17.8%),14 cases of concentric broad type(31.1%).The most common type was the narrow type,and the difference was statistically significant compared with the other two pathological types(P<0.05).The children in the observation group were compared with the normal children in the control group,the lymph node length diameter,short diameter,aspect ratio were higher in the observation group than those in the control grou,and the difference was significant(P<0.05).The long diameter,short diameter and aspect ratio of lymph nodes in the observation group were significantly reduced after treatment(P<0.05).Conclusion For children with clinical enlarged intraperitoneal lymph nodes,using ultrasound examination can provide accurate reference for the type,size and position of the disease,and it is convenient for the clinicians to identify the different lymph nodes in the abdominal cavity.Individualized treatment based on ultrasound detection can promote lymph node maximum reduction and improve prognosis significantly,so it has very important application value.
作者
刘云添
LIU Yuntian(Department of Ultrasound,Dongsheng Hospital of Zhongshan City,Zhongshan 528414,China)
出处
《中国医药科学》
2018年第13期161-164,共4页
China Medicine And Pharmacy
基金
广东省中山市医学科研项目(2016J282)
关键词
小儿
腹腔肿大淋巴结
超声检查
检出状况
鉴别要点
Children
Enlarged intraperitoneal lymph nodes
Ultrasound examination
Detection status
Differential key points
