超声对常见小儿急腹症的诊断及鉴别诊断分析

Ultrasonic Analysis of Common Pediatric Diagnosis and Differential Diagnosis of Acute Abdominal Pain

目的分析超声对常见小儿急腹症的诊断及鉴别诊断价值。方法选择我院2014年1~12月收治的117例患者作为观察对象,回顾性分析所有患儿的超声表现和临床症状,最终确诊117例急腹症患儿中有急性阑尾炎45例、急性肠系膜淋巴结炎30例、急性肠梗阻23例、急性肠套叠15例以及原发性腹膜炎4例,对比分析超声诊断符合率。结果对比超声诊断结果与术后病理检查或其他检查结果发现,对于急性阑尾炎的诊断符合率为84.44%、急性肠系膜淋巴结炎诊断符合率为100%、急性肠梗阻诊断符合率为91.30%、急性肠套叠诊断符合率为86.67%、原发性腹膜炎诊断符合率为100%。结论应用超声对常见小儿急腹症进行诊断和鉴别具有较高的符合率,对于患儿疾病的治疗起到重要的作用。

Objective To analyze ultrasound diagnosis and differential diagnosis value of common pediatric acute abdominal disease. Methods 117 patients were chosen as observation objects in our hospital from January to December 2014, all children with soriographic findings and clinical symptoms were retrospectively analyzed, the final diagnosis of 117 cases with acute appendicitis in children with acute abdominal pain, 45 cases, 30 cases of acute mesenteric lymphadenitis, 23 cases of acute intestinal obslruction, acute intussusception 15 cases and 4 cases of primary peritonitis, contrast analysis of ultrasound diagnosis coincidence rate. Results Contrast ultrasound diagnosis and postoperative pathologic examination or other test results found that for acute appendicitis diagnosis coincidence rate was 84.44%, acute mesenteric lyrnphadenitis diagnostic coincidence rate was 100%, acute ileus diagnosis coincidence rate was 91.30%, acute intussusception diagnosis coincidence rate was 86.67%, idiopathic peritonitis diagnostic coincidence rate was 100%. Conclusion Ultrasound was applied to common pediatric acute abdominal disease diagnosis and identification has high coincidence rate, play an important role in the treatment of children with disease.