高频彩超在小儿肠系膜淋巴结炎中的诊断价值

Value of high-frequency color Doppler ultrasound in diagnosis of mesenteric lymphadenitis in children

目的探讨高频彩超应用于小儿肠系膜淋巴结炎诊断、鉴别诊断的价值。方法抽选57例肠系膜淋巴结炎患儿(炎症组)进行高频彩超检查,对其超声图像结果进行分析总结,并抽选57例健康患儿为对照组,予以对比分析。结果 57例患儿腹腔内高频彩超检测均可见淋巴结肿大,并且多位于脐周或者是中下腹,彩色多普勒可见血流信号增多;炎症组患儿肠系膜淋巴结的长径(L)、短径(S)以及内部回声均高于正常对照组(P<0.05)。结论高频彩超能快速判断肠系膜淋巴结肿大,是临床首先诊断方法,同时可为小儿肠系膜淋巴结炎的鉴别诊断、治疗效果评估等提供可靠的影像学参考。

Objective To explore the application value of high frequency color Doppler ultrasound in the diagnosis and differential diagnosis of mesenteric lymphadenitis in children. Methods Fifty - seven cases of mesenteric lymphadenitis in children were selected as the inflammation group, and were performed high frequency color Doppler ultrasound examination, and another 57 healthy children were chosen as control group for comparison research. Results In 57 cases performed with high frequency color Doppler ultrasound, enlarged abdominal lymph node could be seen, located in the umbilical week or next abdomens, and visible blood flow signals of color Doppler increased; in mesenterie lymph node groups of children, inflammatory long diameter （L） , color flow signal, short diameter （S） and internal echo were higher than those in normal control group （ P 〈 0.05 ）. Conclusion High - frequency ultrasound can clearly judge the mesenteric lymph node enlargement of mesenteric lymphadenitis in children, thus it is the preferred clinical diagnostic method, which can also provide reliable imaging reference for the evaluation of its differential diagnosis and treatment.