摘要
目的：探索超声检查对小儿慢性腹痛的诊断价值。方法：取经常腹痛伴其他消化道症状的病例３４５例，女１６１例，男１８４例，空腹８小时以上口服温开水２００～５００ｍｌ，依次观察胃贲门、胃底、胃体、幽门、十二指肠球的壁厚度、层次关系、蠕动情况及十二指肠返流与否。结果：３４５例均完成检查，阳性病例１０８例。胃窦部浅表胃炎最多见（６７例），与胃镜对照符合率８３．３％。其次是胃动力减弱（３５例）。其它肥厚性胃炎３例，溃疡１例，十二指肠球炎２例。结论：超声诊断元创、无痛、安全，对小儿慢性腹痛有一定的诊断价值。在小儿腹痛中汽表性胃炎及胃动力减弱是不可忽视的原因。
Purpose: To assess the value of ultrasound examination of stomach in children with chronic abdominal pain.Methods: 345 cases with frequent abdominal pain accompanied with other digestive symptoms were enrolled, female 161, male184, age ranged from 1 to 14 yeaxs. We observed the thickness of the walls of the gastric antrum, fundus of stomach, corpus ventriculi, pylous and duodenal bulb, as well as the peristalsis of the stomach and duodenum. Results: The examination of all the 345cases were sucessfully performed. 108 cases showed a positive result. Of them, 67 cases were superficial gastritis at the gastricantrum, 35 cases were diagnosed as decrease of the gastric peristalsis. Other diseases included gastric ulcer and etc. Conclusion:As a less invasive, painless and safe diagnostic approach, ultrasound can be used to investigate the causes of the chronic abdomenal pain in children.
出处
《放射学实践》
1999年第1期28-30,共3页
Radiologic Practice
