超声在诊断小儿肠系膜淋巴结肿大中的临床意义

Clinical significance of ultrasound in the diagnosis of children mesenteric lymph nodes

目的:探讨超声诊断小儿肠系膜淋巴结肿大的临床意义。方法:收治持续性或阵发性腹痛患儿300例,行超声检查,观察其腹腔内情况及肠系膜淋巴结肿大的情况,了解淋巴结肿大的病因。结果:肠系膜淋巴结肿大以单纯性肠系膜淋巴结肿大为主,且多发于右侧腹部;阑尾炎、肠套叠少,胆囊结石、肠道蛔虫病也可导致肠系膜淋巴结肿大。结论:超声用于小儿肠系膜淋巴结肿大的诊断具有重要价值,可有效指导其临床诊断和治疗。

Objective:To discuss the clinical significance of ultrasound in the diagnosis of children mesenteric lymph nodes.Methods:300 patients with persistent or paroxysmal abdominal pain were selected.They were given ultrasound examination.We observed the abdominal cavity and the mesenteric lymph nodes,to understand the causes of lymphadenopathy.Results:Mesenteric lymph nodes mainly in simple mesenteric lymph nodes,and mainly in the right side of the abdomen.Appendicitis,intussusception less,gallstones,intestinal ascariasis can also lead to mesenteric lymph nodes.Conclusion:Ultrasound used to diagnose children with mesenteric lymph nodes has important value,which can effectively guide the clinical diagnosis and treatment.