高频超声诊断小儿急性肠系膜淋巴结炎的临床价值

The application of high frequency ultrasound on diagnosis of infant acute mesenteric lymphadenitis

目的评价高频超声检查在小儿急性肠系膜淋巴结炎诊断中的应用价值。方法对98例伴急性腹痛的患儿进行常规超声检查,记录肿大淋巴结的部位、大小、回声、形态及长短轴比值(L/S值)。结果统计发现有93.3%(91/98)腹痛患儿显示了肿大淋巴结,以右下腹多见占68.5%(66/98),均为多发。结论高频超声能清晰显示肿大淋巴结,可作为临床诊断肠系膜淋巴结炎的首选方法。

Objective To evaluate the value of high frequency ultrasound on diagnosis of mesenstric lymphadenitis in paediatrics clinic. Methods 98 patients with abdominal pain were examined conventional with high frequency ultrasound. We observed and record the position, size, echo, shape and L/S of lymphes. Results In all cases, there were 91 （93.3%） cases displaying the swelling lymph, and there lie in right lower quadrant in 66 （68.5%） cases. Conclusion High frequency ultrasound can display the enlarged mesenteric lymph clearly. And it can be the first method to dignosis of infant acute mesenteric lymphadenitis.