CAJ | 학술논문

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。
목적：탐토인동미극이게실염초성검사적영상학특점급진단개치。방법：회고성분석엄주시부녀인동의료중심인동원구보외과우2010년5월지2013년4월수치적40례술전초성진단위미극이게실적인동환자，탐토기초성표현급특정。결과：경수술병리증실31례여채색다보륵초성진단일치，진단부합솔체78％(31/40)。미극이게실염환자적초성표현위일단고정관도회성，관벽점막여기층균증후，일단여소장상통，령일단위맹단。결론：초성검사결과대미극이게실염적인동환자재림상학정치료방안시구유중요적삼고개치。
Objective:To investigate the ultrasonographic characteristics and the diagnostic value for Meckel’s diverticulitis in children. Methods:Between May 2010 and April 2013, we recruited 40 children with Meckel′s diverticulum as confirmed by ultrasonography preoperatively in the department of general surgery, Guangzhou Women and Children ’ s Medical Center. We next examined the ultrasonographic characteristics. Results:Color Doppler ultrasonography was consistent with the pathologic findings in 31 cases ( 78%) . Under ultrasonography, Meckel′s diverticulum was characterized by an echo in a fixed thick-walled canal that was connected with the small intestine in one end and occluded in the other. Conclusion:Ultrasonography confers a crucial reference significance for the establishment of therapeutic strategy of Meckel’ s diverticulitis in children.