多普勒超声诊断小儿急腹症的临床价值

Clinical significance of doppler ultrasound in Pediatric Acute Abdomen

目的评价多普勒超声诊断小儿急腹症的临床价值。方法回顾研究宝坻区人民医院2014年1月-2015年12月337例小儿急腹症患者,所有患者年龄〈17其中男性224例,女性113例,年龄1~17岁,平均（7±5.1）岁,排除外伤患者。所有患者均进行腹部多普勒超声检查。患者取硬卧位腹部平扫,观察其形态、血流信号及回声等。结果337例患者中,阑尾炎确诊241例,漏/误诊24例;肠梗阻47例,漏/误诊4例;肠套叠确诊14例,漏/误诊3例;处女膜闭锁确诊3例,漏/误诊1例。结论多普勒超声是诊断小儿急腹症有效的非侵入性辅助检查手段。且诊断阳性率高、方便、经济,具有较高的临床价值,在临床诊断小儿急腹症应大力推广,为临床诊断小儿急腹症提供及时可靠的依据。

Objective To evaluate the clinical value of Doppler ultrasound in the diagnosis of acute abdomen in children. Methods of Baodi District People＇s Hospital in January 201.4 and 2015 December 337 cases of acute abdomen in children patients, all patients aged 〈17 in which the 224 men, 113 were female, age 1 to 7 years, average（7±5.1 ） years, to the exclusion of trauma patients. All patients underwent abdominal Doppler ultrasonography. With a hard abdominal plain, the morphology, blood flow signal and echo etc. Results The 337 cases, confirm appendicitis 241 cases, leakage/24 cases were misdiagnosed; 47 cases of intestinal obstruction, leakage/4 cases were misdiagnosed; 14 cases of intussusception diagnosis, leakage/misdiagnosis in 3 cases, 3 cases of imperforate hymen diagnosed, leakage/1 was misdiagnosed. Conclusion Doppler ultrasound is effective in diagnosis of acute abdomen of non invasive examination method. And the diagnostic positive rate is high, convenient and economic, has high clinical value. In the clinical diagnosis of acute abdomen in children should be vigorously promote, timely and reliable basis is provided for the clinical diagnosis of acute abdomen in children.