ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (1): 12-14.doi: 10.3969/j.issn.1674-3865.2016.01.005

• 临床研究 • 上一篇    下一篇

小儿急性肠系膜淋巴结炎高频超声诊断分析

刘传双,于兵   

  1. 116400 辽宁 大连,庄河市中心医院超声科
  • 出版日期:2016-02-25 发布日期:2018-11-19
  • 通讯作者: 刘传双,E-mail:842596740@qq.com
  • 作者简介:刘传双(1971-),女,主治医师。研究方向:儿科疾病的诊断与治疗

Analysis of ultrasonographic diagnosis of acute mesenteric lymphadenitis in children

LIU Chuanshuang,YU Bing   

  1. Department of Ultrasound,Zhuanghe Central Hospital,Dalian 110200,China
  • Online:2016-02-25 Published:2018-11-19

摘要:
目的:总结超声诊断小儿急性肠系膜淋巴结炎的临床特点。
方法:采用日本的阿洛卡α7高频变频探头,对患儿腹部行多切面扫查,重点观察肠系膜根部,记录淋巴结部位、数目,测量内部回声及大小、形态,观察内部血流分布情况,记录阻力指数。患儿经过抗感染对症治疗后进行超声复查,结合高频超声诊断的结果进行分析。
结果:超声检查全部确诊,54例患儿中均以腹痛症状为主,发病年龄多见7岁以下,冬春季好发。上呼吸道感染为常见诱因,经抗炎、抗病毒治疗,全部痊愈。
结论:小儿急性肠系膜淋巴结炎超声检查是诊断本病的可靠依据,及早发现治疗,愈后良好。

关键词: 肠系膜淋巴结炎, 超声检查, 病毒感染, 腹痛, 儿童

Abstract:
Objective:To summarize the clinical features of ultrasonographic diagnosis of acute mesenteric lymphadenitis in children.
Methods:The Japan Aloka alpha 7 high frequency probe was used to examine the child's abdomen by multi-section scanning.The observation was focused on the mesenteric root,and lymph node location and number were recorded;measure internal echo as well as the size and shape;observe the flow distribution and record the resistance index.After anti-infection symptomatic treatment,the patients were reexamined by ultrasound,and the results were analyzed through combination with high frequency ultrasonographic diagnosis.
Results:All the patients were accurately diagnosed by ultrasound;54 cases were had abdominal pain as the main symptom.The onset of the disease was more common in children under 7 years old,and more likely to be in winter and spring.The upper respiratory tract infection was a common cause of infection,and after anti-inflammatory and antiviral treatment,all recovered.
Conclusion:Ultrasonographic examination of children with acute mesenteric lymphadenitis is a reliable evidence in the diagnosis of the disease,and early discovery and treatment will result in better prognosis.

Key words: Mesenteric lymphadenitis, Ultrasonography, Virus infection, Abdominal pain, Children