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目的:彩超对高原儿童肠系膜淋巴结炎的诊断价值方法。方法:回顾性分析我院59例肠系膜淋巴结患儿的临床资料和超声声像图表现,对肠系膜淋巴结患儿治疗后的进行随访。结果:55例表现为单纯性肠系膜淋巴结,有4例同时合并急性阑尾炎。超声显示肿大的淋巴结以脐周为主,其中11例同时在右下腹、7例同时在左下腹有淋巴结肿大。23例合并腹腔积液。CDFI观察淋巴门血流信号丰富。抗炎治疗后复查,肿大淋巴结体积缩小或消失,缩小的淋巴结内几乎未见血流信号。结论:在诊断小儿淋巴结炎中彩超能够清晰显示肿大的肠系膜淋巴结,对于临床明确诊断及动态观察治疗有一定的应用价值。并且超声检查简单易行,重复性好,无痛苦,儿童易于接受。
Objective: To evaluate the value of color Doppler ultrasonography in the diagnosis of mesenteric lymphadenitis in children at high altitude. Methods: A retrospective analysis of 59 cases of children with myelodysplastic lymph node in our hospital clinical data and ultrasonography, for children with mesenteric lymph nodes after treatment were followed up. Results: 55 cases showed simple mesenteric lymph nodes, while 4 cases complicated with acute appendicitis. Ultrasound showed enlarged lymph nodes mainly in the umbilical cord, including 11 cases in the right lower quadrant at the same time, while 7 cases had lymphadenopathy in the left lower quadrant at the same time. 23 cases combined with ascites. CDFI observed lymph node blood flow signal rich. After anti-inflammatory treatment review, swollen lymph nodes shrink or disappear, narrowing of the lymph nodes almost no blood flow signal. Conclusion: The diagnosis of pediatric lymphadenitis in the color Doppler ultrasound can clearly show the enlarged mesenteric lymph nodes, for clinical diagnosis and dynamic observation of treatment has a certain value. And ultrasound is simple, repeatable, painless, easy to accept by children.