小儿急腹症超声筛查的意义

目的探讨超声检查在小儿急腹症筛查中的价值。方法对201例小儿急腹症患者的超声资料进行回顾性分析,并将超声诊断结果与术后病理、临床及随访结果进行对照分析。结果本组患儿肠系膜淋巴结炎58例,急性阑尾炎44例,肠套叠13例,肠梗阻10例,腹型紫癜3例,卵巢囊肿蒂扭转2例,内脏外伤2例,胆囊结石和泌尿系结石各1例,其他67例,超声诊断阴性预测值为96.6%。结论超声检查在小儿急腹症诊断中阴性预测值很高,有较高的筛查价值。

Ultrasound screening in the evaluation of children abdominal emergency

Objective To evaluate the value of ultrasound screening in children abdominal emergency. Methods The data of 201 cases of children with abdominal emergency screened by ultrasound were retrospectively analyzed. Ultrasound findings were compared with surgical, pathologic findings and clinical follow-up. Results The results of ultrasonic diagnosis were 58 cases of mesenteric lymphadenitis,44 cases of appendicitis,13 cases of intussusception,10 cases of intestinal obstruction, 3 case of abdominal purpura, 2 cases of torsion of pedicle of ovary cysts,3 cases of visceral hemorrhage,1 case of cholecystolithiasis and 1 case of urinary calculi .The negative predictive value（NPV） was 96.6%. Conclusion Ultrasound has a high NPV and has of great value as a screening tool in the evaluation of children abdominal emergency.