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目的探讨超声诊断小儿肠系膜淋巴结炎的临床应用价值。方法回顾性分析49例肠系膜淋巴结炎患儿治疗前后的超声表现和30例健康儿童肠系膜淋巴结的超声表现进行对比分析。结果患儿组肠系膜淋巴结均有不同程度的肿大,其纵径及横径均显著大于正常的淋巴结,L/S>2,CDFI于淋巴结内可探及血流信号。肿大淋巴结分布以右下腹及脐周为主。所有患者抗感染治疗有效,复查肿大淋巴结减小或消失。结论超声是小儿肠系膜淋巴结炎的首选检查方法,为临床确诊治疗及治疗后复查提供重要依据。
Objective To investigate the clinical value of ultrasonic diagnosis of children with mesenteric lymphadenitis. Methods A retrospective analysis of 49 cases of children with mesenteric lymphadenitis before and after treatment ultrasound performance and 30 cases of healthy children with mesenteric lymph nodes were compared. Results The mesenteric lymph nodes in children with different degrees of enlargement, the longitudinal diameter and transverse diameter were significantly larger than the normal lymph nodes, L / S> 2, CDFI in the lymph nodes can be detected and blood flow signals. Enlarged lymph nodes to the right lower quadrant and umbilical weeks based. Anti-infection treatment in all patients effective, review of enlarged lymph nodes reduce or disappear. Conclusion Ultrasound is the first choice for the detection of mesenteric lymphadenitis in children. It provides an important basis for clinical diagnosis and post-treatment review.