高频彩超对儿童肠系膜淋巴结炎的诊断价值和临床意义

目的探讨高频彩超对儿童肠系膜淋巴结炎的诊断价值和临床意义。方法对96例腹痛儿童进行高频彩超检查,重点扫查脐周、右下腹等肠系膜分布区,观察并记录淋巴结的数量、形态、大小、边缘及内部回声,测量淋巴结的长径、短径,用彩色多普勒观察内部血供情况;经抗炎治疗后进行复查,比较治疗前后淋巴结的大小和数目的变化。结果 96例腹痛儿童均显示淋巴结肿大,为密集型或串珠状分布,血流信号显示丰富,经抗炎治疗后淋巴结明显减少和缩小。结论高频彩超能清晰显示肠系膜淋巴结,对临床诊断治疗儿童肠系膜淋巴结炎及愈后随访具有重要的诊断价值和临床意义。

Clinical significance of high frequency ultrasonography in diagnosis of puerile mesenteric lymphadenitis.

Objective To explore the clinical significance of high frequency ultrasonography in diagnosis of puerile mesenteric lymphadenitis.Methods Ninety six childish patients with abdominal pain were conventionally examined with high frequency ultrasonography especially around bellybutton and right lower quadrant.The position,size,echoes,shape and L/S of absorbent glands were recorded.The blood supply inside the absorbent glands and diversity of post-treatment number and side of absorbent glands were examined by color Doppler imaging.Results Intumescent absorbent glands were glomerately and catenulately existed in all 96 childish patients with abdominal pain.Blood flow signals are abundant.The number and side of absorbent glands were sharply reduced after anti-inflammatory treatment.Conclusion High frequency ultrasonography can clearly display mesenteric lymphadenitis,and it has great clinical significance in diagnosis and treatment of puerile mesenteric lymphadenitis and follow-up observation.