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目的:采用彩超对肠系膜淋巴结肿大的临床腹痛患儿进行诊断的探讨。方法:应用彩超跟踪检查64例腹痛患儿的肠系膜淋巴结肿大情况。结果:都是多发肿大肠系膜淋巴结,大部分患儿位于脐周、右下腹,占90.62%(58/64)。经过半个月左右的治疗采用彩超对32例患者进行复查,有20例患者的症状得到缓解,或没有症状,占62.5%(20/32),淋巴结缩小或消失比较明显;有10例患者症状减轻,占31.25%(10/32),但淋巴结没有显著变化。结论:小儿肿大肠系膜淋巴结在高频彩超下能显示清楚,可做为临床鉴别诊断治疗的重要依据。
Objective: To investigate the diagnosis of children with clinical abdominal pain with color Doppler echocardiography. Methods: Color Doppler ultrasonography was used to examine the incidence of mesenteric lymph nodes in 64 children with abdominal pain. Results: All were multiple mesenteric lymph nodes. Most of the children were located on the umbilical cord and the right lower quadrant, accounting for 90.62% (58/64). After about half a month of treatment using color Doppler ultrasound in 32 patients were reviewed, 20 patients were relieved symptoms or no symptoms, accounting for 62.5% (20/32), lymph node shrinkage or disappearance is more obvious; 10 patients with symptoms Reduce, accounting for 31.25% (10/32), but no significant changes in lymph nodes. Conclusion: Children with enlarged mesenteric lymph nodes can show clearly under high-frequency color Doppler ultrasound, which can be used as an important basis for clinical differential diagnosis and treatment.