高频彩色多普勒超声在小儿常见急腹症诊断价值的研究-张富

Vol.23No.19ChinaJournalofModernMedicineJul.2013、、、、、、。。。、、、、、。1005-8982（2013）19-0091-03张富，周芳，谢学健分析小儿常见急腹症中急性阑尾炎，肠套叠，肠系膜淋巴结炎，腹股沟嵌顿疝等超声表现，探讨高频彩色多普勒在诊断小儿常见急腹症的应用价值。应用高频彩色多普勒超声对370例临床拟诊急腹症患儿进行超声检查。370例常见急腹症患儿中，急性阑尾炎149/157例（94.9%），肠套叠56/60例（93.3%），肠系膜淋巴结炎122/132例（92.4%），腹股沟嵌顿疝20/21例（95.2%），均有较典型声像图表现。高频彩色多普勒超声能为诊断小儿常见急腹症提供更可靠依据，对临床诊断及选择治疗方案具有重要的指导意义。高频彩色多普勒；诊断；小儿急腹症R445.1BValueofhigh-frequencycolordopplerultrasoundinthediagnosisofcommonacuteabdomeninchildrenZHANGFu,ZHOUFang,XIEXue-jian(DepartmentofUltrasound,thePeople'sHospitalofXiaolanAffiliatedtoSouthernMedicalUniversity,Zhongshan,Guangdong528415,P.R.Chian)Abstact:【Objective】Theultrasonographyoftheacuteappendicitis,inussusception,mesentericlymphadenitis,inguinalincarcerationherniainchildrenacuteabdomenwasretrospectivelyanalyzedtoinvestigatetheclinicalsig－nificanceofhigh-frequencycolordopplerultrasoundintheapplicationofchildrenacuteabdomen.【Methods】370casesofchildrenacuteabdomenforclinicaldiagnosiswereexaminedbyhighfrequencycolordopplerultrasound.【Results】Among370casesacuteabdomenofchildren,acuteappendicitis149/157(94.9%),inussusception56/60(93.3%),mesentrriclymphadenitis122/132(92.4%),inguinalincarcerationhernia20/21(95.2%),allofthemhavetypicallyultrasonography.【Conclusions】Highfrequencycolordopplerultrasoundcanprovidereliablebasisforthediagnosisofchildrenacuteabdomen,anditalsohasimportantguidingsignificanceforclinicaldiagnosisandtreat－mentchoice.KeyWords:highfrequencycolordopplerultrasound;diagnosis;acuteabdomenofchildren91··。、、、、、、。。。。。。。“”。、。。。。。、。。、、。、、。“”“”“”“”。、。、、。。。、。。。、≥92··。。、、、、。。、。。。。、、、、、。、。。、。、、、。93··