高频超声对婴幼儿肠系膜淋巴结大的鉴别诊断价值.docVIP

高频超声对婴幼儿肠系膜淋巴结大的鉴别诊断价值 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：高频超声对婴幼儿肠系膜淋巴结大的鉴别诊断价值 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：高频超声在诊断儿童急性肠系膜淋巴结炎的应用价值 5 1 资料与方法 5 2 结果 6 3 讨论 6 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 8 正文 高频超声对婴幼儿肠系膜淋巴结大的鉴别诊断价值 文1：高频超声对婴幼儿肠系膜淋巴结大的鉴别诊断价值 ［ABSTRACT］ObjectiveTo enhance the value of high-frequency ultrasonography in differential diagnosis for mesenteric lymphadenectasis. MethodsThe ultrasonic manifestatio of enlargement of mesenteric lymph nodes caused by various reaso in infants and young children were reviewed. There were 121 patients enrolled and divided into four groups， based on different etio-logical facto， as follows: simple mesenteric lymphadenitis，enlargement of lymph nodes caused by enteritis or appendicitis， tuber-culous lymphadenitis ，metastatic lymph nodes of lymphoma. The ultrasonic manifestatio in each group was analyzed and com-pared with their pathological changes. ResultsLymphadenectasis of different reaso reflected different pathologic changes， but their ultrasonic manifestatio might be overlapping， and the same disease might show the different manifestatio and pathological changes in different phases. ConclusionBetter undetanding of the pathological changes reflected by different ultrasonic mani-festatio and combined them with clinical symptoms and laboratory results may increase the value of high-frequency ultrasonogra-phy in differential diagnosis. ［KEY WORDS］mesentery; tuberculosis， lymph node; lymphadenitis; ultrasonography; pathology， clinical; differential diagnosis 肠系膜淋巴结炎是婴幼儿期腹痛最常见原因之一［1］，肠系膜淋巴结炎与其他原因引起的肠系膜淋巴结大进行鉴别具有重要的临床意义。本文回顾分析了我院近3年中经临床和病理证实的多种原因所致肠系膜淋巴结大的超声影像学表现及临床资料，旨在提高高频超声对婴幼儿腹腔淋巴结大的鉴别诊断价值。 1 资料与方法 一般资料 本组121例肠系膜淋巴结大病儿患病原因均经临床确诊，确诊方法有诊断性治疗并随访（单纯肠系膜淋巴结炎），细菌培养（肠炎），手术活检病理证实 （结核、转移瘤或恶性淋巴瘤）。病儿年龄3～12岁，平均岁。其中单纯肠系膜淋巴结炎病儿113例，伴上呼吸道感染病儿85例，急性肠炎病儿19例，阑尾炎病儿9例;肠系膜淋巴结结核病儿3例;恶性淋巴瘤淋巴结大病儿5例。 检测方法 使用PHILIPS 3500型全身彩超，高频线阵电子探头，频率范围选用～ MHz。对所有图像资料进行录像，包括对同一病例治疗前后检查结果进行录像，以便回放分析和总结，同时详细记录病儿的临床资料。检查前不合作的病儿给口服水