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目的分析小儿流行性腮腺炎患者腮腺及腹部的声像图改变,并探讨其临床价值。方法联合应用高频超声及腹部超声检测21例流行性腮腺炎患儿及10例正常儿童的腮腺及周围淋巴结、肝脏、脾脏及胆囊的超声表现及血流情况。结果流行性腮腺炎患儿与对照组中腮腺厚径、腮腺内低回声数量及腮腺周围淋巴结数量有显著统计学差异(P<0.05),门、脾静脉内径及脾脏厚径、长径无统计学差异(P>0.05)。21例患儿腮腺轮廓模糊(16/21,76%),回声增粗、增强(21/21,100%),血流信号部分增多(11/21,52%),腮腺内多发低回声(17/21,81%),腮腺旁多发淋巴结肿大(19/21,90%)。肝实质回声增粗、增强(18/21,86%),门静脉管壁回声增强(18/21,86%),部分呈双边影征(11/21,52%)。胆囊壁改变不明显。结论超声能清楚的显示小儿流行性腮腺炎时腮腺的受损情况及腹部的相应声像图改变,能为临床提供较客观的诊断依据。
Objective To analyze the changes of the parotid gland and abdomen in patients with mumps and explore its clinical value. Methods Ultrasound and abdominal ultrasonography were used to detect the ultrasonographic manifestations and blood flow of the parotid and peripheral lymph nodes, liver, spleen and gallbladder in 21 mumps patients and 10 normal children. Results There were significant differences in parotid gland diameter, parotid hypoechoicity and parotid gland lymph node count between mumps and control group (P <0.05). There was no statistical difference between the diameter of portal vein and splenic vein, Learning difference (P> 0.05). The parotid gland of 21 children had blurred (16/21, 76%), echogenic, enhanced (21/21, 100%), increased blood flow signal (11 / 21,52%), parotid hypoechoic (17 / 21,81%), multiple parotid lymph nodes (19 / 21,90%). Echogenicity of the liver parenchyma, increased (18/21, 86%), echogenic portal vein wall enhancement (18/21, 86%), some were bilateral (11/21, 52%). Gallbladder wall change is not obvious. Conclusion Ultrasound can clearly show the parotid gland in children with mumps damage and the corresponding changes in the abdomen sonography, can provide more objective clinical diagnosis.