儿童急性肠系膜淋巴结炎与急性阑尾炎鉴别诊断分析

目的：探讨儿童急性肠系膜淋巴结炎与急性阑尾炎鉴别诊断方法。方法：回顾我院近五年来手术治疗儿童AA 198例,其中的17例误诊经验,对儿童急性肠系膜淋巴结炎与急性阑尾炎的特点进行总结报告。结果：我院近五年来手术治疗儿童急性阑尾炎198例,17例术后诊断为儿童急性肠系膜淋巴结炎,占8.6%,17例均切除阑尾并取肠系膜淋巴结送检,病理报告肠系膜淋巴结炎13例,伴慢性阑尾炎4例,其余为正常阑尾。结论：急性肠系膜淋巴结炎和急性阑尾炎是儿童期最常见且最易混淆的疾病之一,若得不到及时正确的诊断,将会导致治疗的延误,给患儿带来不必要的痛苦甚至危及患儿生命,对于两者的鉴别诊断十分重要,需要引起临床医师的注意。

Differential Diagnosis of Acute Mesenteric Lymphadenitis and Acute Appendicitis in Children

Objective： To find out the differential diagnosis for children with acute mesenteric lymphadenitis（AML） and acute appendicitis.Method： We reviewed the data of 198 cases children with acute appendictis underwent surgery in 5 years.There’s 17 cases was misdiagnosed.Result： In all 198 cases acute appendicitis,17 cases（8.6%） were diagnosed as mesenteric lymphadenitis.13 cases were mesenteric lymphadenitis reported by pathology in 17 cases removed the appendix.4 were chronic appendicitis.Conclusion： It’s important to diagnose the AML and acute appendicitis differentially,otherwise it will delay the treatment.