| 梁会泽,贾化平,孙志英,周环宇,许永杰,魏相东.高频超声诊断儿童急性肠系膜淋巴结炎[J].中国医学影像技术,2009,25(11):2043~2045 |
| 高频超声诊断儿童急性肠系膜淋巴结炎 |
| High-frequency ultrasound in diagnosing acute mesenteric lymphadenitis in children |
| 投稿时间：2009-04-28 修订日期：2009-06-26 |
| DOI： |
| 中文关键词: 超声检查 肠系膜淋巴结炎 儿童 |
| 英文关键词:Ultrasonography Mesenteric lymphadenitis Child |
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| 中文摘要: |
| 目的 探讨高频超声诊断儿童急性肠系膜淋巴结炎的临床应用价值。 方法 回顾性分析165例肠系膜淋巴结炎患儿的临床和影像资料,观察其高频超声表现特点。 结果 高频超声筛检出肿大肠系膜淋巴结165例,单纯回盲部86例,单纯脐周35例,混合出现者13例,其他部位31例;肿大淋巴结长径1.0~2.5 cm,长径与宽径之比≥2。彩色多普勒于淋巴结内探及点、条状的稀疏或较丰富的树枝状分布血流信号,动脉血流阻力指数>0.6;所有患者抗感染治疗有效,复查肿大淋巴结减小或消失。 结论 高频超声诊断儿童急性肠系膜淋巴结炎具有重要的临床应用价值。 |
| 英文摘要: |
| Objective To assess the value of high-frequency ultrasound in diagnosing acute mesenteric lymphadenitis in children. Methods Clinical and imaging data of 165 children with acute mesenteric lymphadenitis were analyzed retrospectively, and their ultrasonographic characteristics were observed. Results One hundred and sixty-five children with acute mesenteric lymphadenitis were diagnosed with high-frequency ultrasound, including 86 located in ileocecal junction singularly, 35 in umbilicus, 13 in both of these two positions and 31 in other place. The length of the swollen mesenteric nodes was from 1.0 cm to 2.5 cm, and the ratio of the length to the minor axis was ≥2. Punctiform, strip-form and arborization blood flow signals were detected with color Doppler flow imaging, and the resistance index of the inner arterial flow gotten with Doppler spectrum imaging was >0.6. All children with acute mesenteric lymphadenitis were treated effectively with anti-inflammatory and the swollen lymph nodes diminished or disappeared. Conclusion High-frequency ultrasound has important clinical value in diagnosing acute mesenteric lymphadenitis in children. |
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