高频超声在肠系膜淋巴结炎诊断中的价值探讨

The Value of High Frequency Ultrasound in The Diagnosis of Mesenteric Lymph Mode Inflammation

目的探讨高频超声对诊断肠系膜淋巴结炎的临床应用价值。方法应用高频超声对62例急性肠系膜淋巴结炎患者进行检查,经抗炎治疗10 d后超声复查,观察治疗前后肠系膜淋巴结的变化情况。结果肠系膜淋巴结炎的典型声像特征包括:右侧下腹部及右侧脐旁见数枚大小不等的椭圆形低回声结节,边界清楚,纵横比(L/T)>2,经抗炎治疗10 d后复查对比,可见全部肿大淋巴结明显缩小或消失。结论高频超声可清楚显示腹腔肿大淋巴结的位置、大小、形态和数目,为肠系膜淋巴结炎的临床诊断提供可靠依据。

Objective To discuss the clinical application value of high frequency ultrasound in the diagnosis of mesenteric lymph node inflammation.Method 62 cases of mesenteric lymph node inflammation patients were selected and examined by high frequency ultrasound.The variation situation of mesenteric lymph node before and10 days after treatments were compared.Results The characteristics of mesenteric lymph node inflammation contained：the presence of multiple enlarged lymphonodulus shown as oval hypoechoic nodules with different size in the right inferior abdomen,boundary was clearer,L/T 〉2.10 days after treatments,the swollen lymph node reduced or disappeared.Conclusion High frequency ultrasound can show the location,shape,amount of swollen lymph node and provide reliable reference for the diagnosis of mesenteric lymph node inflammation.