彩色多普勒超声对小儿常见急腹症疾病的诊断价值.pdfVIP

• 548 • 西部医学 2016 年 4 月第 28 卷第 4 期 Med J West China , April 2016 , Vo l. 28 , No. 4 ·论著· 彩色多普勒超声对小儿常见急腹症疾病的诊断价值铃 邢文静邹正霖叶维霞罗志远 (泸州市人民医院超声科，四川泸州 646000) E摘要】 目的 探讨彩色多普勒超声在常见小儿急腹症疾病中的诊断价值。方法 回顾性分析 178 例小儿外科急 腹症病例的超声声像图资料，包括病灶的形态、内部回声、典型特征以及彩色多普勒血流情况，并与 CT 的诊断符合率进 行对比性分析。结果 178 例中，超声诊断急性阑尾炎 57 例，肠套叠 16 例，肠系膜淋巴结肿大 60 例，肠梗阻 9 例，其他 21 例。超声提示无明显异常的 36 例病例中，有 10 例后行 CT 检查，经临床及病理诊断为急性阑尾炎。结论 在常见小 儿急腹症的诊断中彩超和 CT 的诊断符合率元明显差异，但彩超检查具有无辐射、可重复操作、不需使用镇静剂或对比 剂、价格低廉等优点，可作为临床诊断小儿腹症首选的影像检查方法。 E关键词】 彩起;急腹症;小儿;诊断 E 中图分类号】 R 445.1 (文献标志码】 A doi: 10. 3969/i. iss比 1672-3511.2016.04.027 The diagnosis value of color Doppler ultrasound on common abdominal emergency of young children XING Wenjing ,ZOU Zhenglin ,YE Weix恼， et al (Deþartment of Ultrasound. Luzhou Peo户les Hos户ital. Luzhou 646000. Sichuan , China) (Abstract) Objective To investigate the diagnosis value of the color Doppler ultrasound in common abdominal e- mergency of young children. Methods 178 cases of pediatric acute abdomen ultrasound image data were retrospectively analyzed. The mass shapes , internal echo , typical characteristics and CDFI were obseved. The diagnosis rate of ultra- sonography and CT were compared. Results Of the 178 cases , ultrasonic diagnosis shown 57 cases with appendicitis , 16 cases with intussusception , 60 cases with mesenteric lymphadenitis , 9 cases with intestinal obstruction and 21 cases with no obvious abnormality. Of 36 cases with no obvious abnormality , there were 10 cases with appendicitis after CT scan. Conclusion The diagnosis rate of ultrasonograp