儿童肠系膜淋巴结炎的中西医诊治进展

doi:10.20274/j.cnki.issn.1674-3865.2026.02.007

中国中西医结合儿科学 ›› 2026, Vol. 18 ›› Issue (2): 128-132.doi: 10.20274/j.cnki.issn.1674-3865.2026.02.007

儿童肠系膜淋巴结炎的中西医诊治进展

官旻丽^1,², 高晓琳¹()

610041 成都，四川大学华西第二医院儿科，出生缺陷与相关妇儿疾病教育部重点实验室(官旻丽，高晓琳)
610219 成都，成都京东方医院儿科（官旻丽）

收稿日期:2025-11-11 修回日期:2026-01-14 出版日期:2026-04-25 上线日期:2026-04-25
通讯作者: 高晓琳 E-mail:gaoxiaolin@scu.edu.cn
作者简介:官旻丽（1993-），女，主治医师。研究方向：儿童消化系统疾病的诊治
基金资助:
四川省科技厅重点研发项目(2023YFS0224)

Advances in diagnosis and treatment of pediatric mesenteric lymphadenitis based on integrated traditional Chinese and western medicine

Minli GUAN^1,², Xiaolin GAO¹()

^1.West China Second University Hospital, Sichuan University; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu 610041，China
^2.Chengdu BOE Hospital, Chengdu 610219, China

Received:2025-11-11 Revised:2026-01-14 Published:2026-04-25 Online:2026-04-25
Contact: Xiaolin GAO E-mail:gaoxiaolin@scu.edu.cn
Supported by:
Key R&D Project of Science and Technology Department of Sichuan Province(2023YFS0224)

摘要/Abstract

摘要：

儿童肠系膜淋巴结炎是儿科常见腹痛病症，具有反复发作、病程迁延等特点，严重影响患儿身心健康与生活质量。目前该病在诊断标准、治疗方案上尚未形成统一共识，临床仍以抗感染、对症治疗为主，但长期使用抗生素易引发肠道菌群失衡、耐药性等问题。近年来，益生菌在调节肠道微生态、减轻炎症、缩小淋巴结、辅助治疗儿童肠系膜淋巴结炎中的作用日益受到重视；中医以理气止痛、消肿散结、健脾和胃为核心，通过中药内服、穴位贴敷、灸法、推拿等多种方式干预，疗效确切；中西医结合治疗可协同增效、降低复发率、提高依从性，展现出良好应用前景。本文就儿童肠系膜淋巴结炎的病因病机、诊断要点、西医治疗、中医治疗、中西医结合及益生菌应用等研究进展进行系统综述，梳理当前诊疗局限与争议，为临床规范化诊疗及后续研究提供参考。

关键词: 肠系膜淋巴结炎, 腹痛, 益生菌, 儿童

Abstract:

Mesenteric lymphadenitis in children is a common pediatric abdominal pain disorder, which has the characteristics of repeated attacks and prolonged course of disease, seriously affecting the physical and mental health and quality of life of children. At present, there is no unified consensus on the diagnostic criteria and treatment of the disease. Anti-infection and symptomatic treatment are still the main clinical treatments, but long-term use of antibiotics can easily cause intestinal flora imbalance and drug resistance. In recent years, the role of probiotics in regulating intestinal microecology, reducing inflammation, shrinking lymph nodes, and assisting the treatment of children with mesenteric lymphadenitis has received increasing attention. The core treatment in traditional Chinese medicine (TCM) is regulating qi and relieving pain, reducing swelling and resolving nodules, and invigorating spleen and stomach, and various interventions are performed, such as oral administration of Chinese medicines, acupoint application, moxibustion and massage, which has achieved great effect. Integrated traditional Chinese and western medicine can synergistically enhance the effect, reduce the recurrence rate and improve the compliance, showing a good application prospect. This article systematically reviews the research progress in etiology, pathogenesis, key diagnostic points, western medicine treatment, traditional Chinese medicine treatment, integrated traditional Chinese and western medicine and probiotics application in children with mesenteric lymphadenitis, and sorts the limitations and controversies of current diagnosis and treatment, so as to provide references for standardized clinical diagnosis and treatment and subsequent researches.

Key words: Mesenteric lymphadenitis, Abdominal pain, Probiotics, Child

中图分类号:

R725.7

官旻丽, 高晓琳. 儿童肠系膜淋巴结炎的中西医诊治进展[J]. 中国中西医结合儿科学, 2026, 18(2): 128-132.

Minli GUAN, Xiaolin GAO. Advances in diagnosis and treatment of pediatric mesenteric lymphadenitis based on integrated traditional Chinese and western medicine[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(2): 128-132.

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儿童肠系膜淋巴结炎的中西医诊治进展

Advances in diagnosis and treatment of pediatric mesenteric lymphadenitis based on integrated traditional Chinese and western medicine

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