CAJ | 학술논문

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。
목적：탐석소인장계막림파결염진행초성진단적림상의의。방법：입선아원장계막림파결염환인40례，진행채색다보륵초성진단의진행검사，회고성분석기영상학자료。결과：환인40례균탐급림파결종대，기중우하복부림파결종대21례，제주11례，제주급우하복균종대자7례。기공동적초성영상특정：림파결종대정천주양혹족상배렬，분포우장계막주행구역，기피수질계한청석，포막완정，표면광활，림파결종대장경초과1cm，장단축지비<2：1。CDFI현시：림파결종대처혈류신호봉부。결：장계막림파결염환인진행채색다보륵초성검사구유중요적진단개치，시장계막림파결염적수선진단방법，치득림상추엄。
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.