超声在小儿急腹症中的诊断价值

The diagnostic value of ultrasonography in children abdominal emergency

目的分析小儿常见急腹症的超声表现,探讨超声对诊断小儿急腹症的价值。方法回顾性分析202例以急腹症为主要临床表现患儿的超声影像资料。结果超声诊断为阑尾炎67例,肠套叠20例,肠梗阻14例,肠系膜淋巴结炎52例,胆结石2例,胰腺炎1例,肾结石2例,腹型紫癜4例,无明显异常40例,超声与临床的符合率为86%。40例超声未能明确诊断的病例中10例临床诊断为阑尾炎,4例为腹型紫癜。结论超声是诊断小儿急腹症的首选影像学方法,可降低误诊及漏诊率。

Objective To investigate the diagnostic value of ultrasonography and the ultrasonic performance in children abdominal emergency.Methods The ultrasonic images of 202 cases children with abdominal emergency were retrospectively analyzed.Results The results of ultrasonic diagnosis were 67 cases of appendicitis,20 cases of intussusception,14 cases of intestinal obstruction,52 cases of mesenteric lymphadenitis,2 cases of gallstone,1 case of pancreatitis,2 cases of kidney stones,4 cases of abdominal purpura,40 cases with no obvious abnormality.The coincidence rate of ultrasonic and clinical diagnosis was 86%.In 40 cases without clear diagnosis,10 cases were appendicitis and 4 cases were abdominal purpura.Conclusion Ultrasonography is the preferred method for the diagnosis of children abdominal emergency,and it can reduce the rate of misdiagnosis and missed diagnosis.