小儿急性肠系膜淋巴结炎高频超声诊断分析

目的总结超声诊断小儿急性肠系膜淋巴结炎的临床特点。方法采用日本的阿洛卡α7高频变频探头,对患儿腹部行多切面扫查,重点观察肠系膜根部,记录淋巴结部位、数目,测量内部回声及大小、形态,观察内部血流分布情况,记录阻力指数。患儿经过抗感染对症治疗后进行超声复查,结合高频超声诊断的结果进行分析。结果超声检查全部确诊,54例患儿中均以腹痛症状为主,发病年龄多见7岁以下,冬春季好发。上呼吸道感染为常见诱因,经抗炎、抗病毒治疗,全部痊愈。结论小儿急性肠系膜淋巴结炎超声检查是诊断本病的可靠依据,及早发现治疗,愈后良好。

Analysis of ultrasonographic diagnosis of acute mesenteric lymphadenitis in children

Objective To summarize the clinical features of ultrasonographic diagnosis of acute mes-enteric lymphadenitis in children.Methods The Japan Aloka alpha 7 high frequency probe was used to ex-amine the child's abdomen by multi-section scanning.The observation was focused on the mesenteric root, and lymph node location and number were recorded;measure internal echo as well as the size and shape;ob-serve the flow distribution and record the resistance index.After anti-infection symptomatic treatment,the patients were reexamined by ultrasound,and the results were analyzed through combination with high fre-quency ultrasonographic diagnosis.Results All the patients were accurately diagnosed by ultrasound;54 ca-ses were had abdominal pain as the main symptom.The onset of the disease was more common in children under 7 years old,and more likely to be in winter and spring.The upper respiratory tract infection was a com-mon cause of infection,and after anti-inflammatory and antiviral treatment,all recovered.Conclusion Ultrasono-graphic examination of children with acute mesenteric lymphadenitis is a reliable evidence in the diagnosis of the disease,and early discovery and treatment will result in better prognosis.