二维超声检查在婴幼儿消化不良诊断中价值.doc

二维超声检查在婴幼儿消化不良诊断中价值[摘要] 目的 探讨超声检查在婴幼儿消化不良诊断中的价值。方法 回顾性总结最终经过临床确诊的33例婴幼儿消化不良超声声像图表现，之前均经过X线腹部透视检查。结果 33例年龄2个月~1岁、平均6.5个月、之前X腹部透视检查均见腹部气液平面，提示肠梗阻可疑，而后超声检查均表现为不同程度的肠胀气，肠管见轻微扩张，内径小于1.3cm，无明显包块回声，可排除肠梗阻。结论 婴幼儿消化不良超声声像图表现并无特异性改变，主要表现为胃肠道功能失调的特点，结合临床病史有一定辅助诊断价值，同时超声对肠梗阻能大部分找到梗阻原因，对腹部透视疑为肠梗阻的婴幼儿消化不良起到一定的鉴别诊断作用。 [关键词] 超声诊断；婴幼儿；消化不良 [中图分类号] R445.1 [文献标识码] B [文章编号]1673-9701（2011）22-100-02 The Value of 2-Dimensional Ultrasound in the Diagnosis of Infant Indigestion WANG Zhangyun1 WANG Yuewu2 1.Department of Ultrasonography， the Jiangshan City People’s Hospital in Zhejiang Province，Jiangshan 324100，China ；2.Department of Pediatrics， the Jiangshan City People’s Hospital in Zhejiang Province，Jiangshan 324100，China [Abstract] Objective To study the value of 2-dimensional ultrasound in the diagnostic of infant indigestion. Methods The ultrasonic images of 33 cases of infant indigestion were retrospectively studied.All the cases were diagnosed by Clinic，all through the X-ray abdomen before 2-dimensional ultrasound examination. Results Tirty-three patients aged 2 months to 1 years， mean 6.5 months， the first ，fluoroscopy， all showed abdominal gas-liquid plane and were cued intestinal obstruction suspicious， then 2-dimensional ultrasound examination are performing for different degrees of bowel bilges gas， dilated bowel see slight expansion， the diameter less than 1.3 cm， without apparent mass echo， can eliminate intestinal bstruction. Conclusion Infant indigestion ultrasound performance ultrasonographic nonspecific changes， mainly for gastrointestinal dysfunction， combined with the characteristics of clinical history have certain auxiliary diagnosis value， Meanwhile ultrasonology obstruction can find obstruction reason， most of the suspected of abdominal perspective obstruction infant indigestion play a certain role of differential diagnosis [Key words] Uhrasonography； Infant； Indigestion 婴幼儿消化不良是儿科常见病、多发病。临床症状以腹泻、呕吐为主伴有腹痛、腹胀及水电解质和酸碱平衡紊乱。超声在胃肠道应用受到一定限制，以往在胃肠道方面