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目的:探讨儿童美克尔憩室炎超声检查的影像学特点及诊断价值。方法:回顾性分析广州市妇女儿童医疗中心儿童院区普外科于2010年5月至2013年4月收治的40例术前超声诊断为美克尔憩室的儿童患者,探讨其超声表现及特征。结果:经手术病理证实31例与彩色多普勒超声诊断一致,诊断符合率达78%(31/40)。美克尔憩室炎患者的超声表现为一段固定管道回声,管壁黏膜与肌层均增厚,一端与小肠相通,另一端为盲端。结论:超声检查结果对美克尔憩室炎的儿童患者在临床确定治疗方案时具有重要的参考价值。
Objective: To investigate the imaging features and diagnostic value of ultrasound in children with Meckel’s diverticulitis. Methods: A retrospective analysis of 40 cases of children with Meckel diverticulum diagnosed by preoperative ultrasound from May 2010 to April 2013 in Guangzhou Children & Children Medical Center General Hospital of Children’s General Surgery was performed to investigate their ultrasound findings and characteristics. Results: 31 cases confirmed by operation and pathology were consistent with color Doppler ultrasound diagnosis, and the diagnostic coincidence rate was 78% (31/40). Meckel’s diverticulitis in patients with ultrasound showed a fixed tube echo, wall mucosa and muscular layer thickening, one end connected with the small intestine, the other end of the blind end. Conclusion: The results of ultrasonography in children with Meckel’s diverticulitis have important reference value in clinical treatment plan.