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探讨超声诊断小儿肠系膜淋巴结炎的临床价值

Discussion of Clinical Value of Ultrasonic Diagnosis on Pediatric Mesenteric Lymphadenitis (PML)

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目的:探析小儿肠系膜淋巴结炎进行超声诊断的临床意义。方法:入选我院肠系膜淋巴结炎患儿40例,进行彩色多普勒超声诊断仪进行检查,回顾性分析其影像学资料。结果:患儿40例均探及淋巴结肿大,其中右下腹部淋巴结肿大21例,脐周11例,脐周及右下腹均肿大者7例。其共同的超声影像特征:淋巴结肿大呈串珠样或簇状排列,分布于肠系膜走行区域,其皮髓质界限清晰,包膜完整,表面光滑,淋巴结肿大长径超过1cm,长短轴之比<2:1。CDFI显示:淋巴结肿大处血流信号丰富。结:肠系膜淋巴结炎患儿进行彩色多普勒超声检查具有重要的诊断价值,是肠系膜淋巴结炎的首选诊断方法,值得临床推广。
Objective: To discuss the clinical significance of ultrasonic diagnosis on PML. Method: 40 children with PML were given color Doppler ultrasound examination and their image data were retrospectively analyzed. Result:Al the 40 children were detected with lymphadenectasis among which right lower abdomen 21 cases, around navel 11 cases and both right lower abdomen and around navel 7 cases. Their common image characteristics were:lymph glands were swel ing and arrayed in bead strings or clusters, located in mesenteric line areas, their boundaries of cortex and medul a were clear, envelopes were complete and surfaces were smooth, long diameter of swel ing lymph gland >1cm, the ratio of the length of shaft <2:1. CDFI showed: swel ing parts of lymph glands had abundant signals of blood flow. Conclusion: Color Doppler ultrasound has important diagnostic value for children with PML, it’s the first choice of diagnostic method for mesenteric lymphadenitis and worth of being popularized.

Diagnostic ValueMesenteric LymphadenitisUltrasoundColor DopplerChildren

陈柯文、李明星、陈园园、赵丽、胡梅、王世界

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四川省泸州医学院附属医院 四川 泸州 646000

诊断价值 肠系膜淋巴结炎 超声 彩色多普勒 小儿

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(11)
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