CAJ | 학술논문

目的：探讨儿童美克尔憩室及其并发症的超声影像特点。方法回顾性分析本院收治的61例经手术及病理检查确诊的美克尔憩室患儿超声表现。结果61例超声检查患儿中，提示美克尔憩室34例（符合率55．74％），其中合并肠套叠3例；27例超声未发现憩室，但提示肠梗阻17例，误诊为阑尾炎6例，腹腔积液2例，腹腔肠胀气2例。美克尔憩室的声像图特征：①当憩室内有积液时表现为囊壁增厚的不规则或半环状囊性结构（n＝10）。②憩室呈不规则含有肠管样结构的混合回声包块或类似阑尾的低回声管状结构（n＝15）。③憩室呈未充盈的、不能压缩的、中心黏膜呈花瓣样或环状强回声的盲腔样结构（n＝6）。④憩室翻入肠腔并发肠套叠（n＝3）。结论分析美克憩室超声图像的特征，结合临床表现，可大大提高超声诊断美克尔憩室的准确性。
목적：탐토인동미극이게실급기병발증적초성영상특점。방법회고성분석본원수치적61례경수술급병리검사학진적미극이게실환인초성표현。결과61례초성검사환인중，제시미극이게실34례（부합솔55．74％），기중합병장투첩3례；27례초성미발현게실，단제시장경조17례，오진위란미염6례，복강적액2례，복강장창기2례。미극이게실적성상도특정：①당게실내유적액시표현위낭벽증후적불규칙혹반배상낭성결구（n＝10）。②게실정불규칙함유장관양결구적혼합회성포괴혹유사란미적저회성관상결구（n＝15）。③게실정미충영적、불능압축적、중심점막정화판양혹배상강회성적맹강양결구（n＝6）。④게실번입장강병발장투첩（n＝3）。결론분석미극게실초성도상적특정，결합림상표현，가대대제고초성진단미극이게실적준학성。
Objetive To explore children withMeckel’s diverticulum and its characteristics of ultra-sound image.Methods Retrospective analysis ultrasound image of 61 children diagnosed asMeckel’s diver-ticulum by operation and pathology. Results 34 cases Meckel’s diverticulum were diagnosed by Utrasound, among which 3 cases had the combined intussusception.the other 27 cases were withoutdiverticulum.However, it showed intestinal obstruction in 17 cases,appendicitisin 6 cases,peritoneal effusion in 2cases,Abdominal flat-ulence in 2 cases.Ultrasound Characteristics of Meckel'sdiverticulum:1 .Irregular cystic with thicken wall or half ring structure whendiverticulum had effusion(n=10).2 Diverticulum showed a mixed echogenicity withirregu-lar and similar intestinal structur(n =15 ).3.diverticulum showed a blind cavity,could not compressed and withpetal-like or cyclic high echo in center mucosa(n=6).4.In some cases complicated with intussusception (n=3).ConclusionThrough analysingthe imaging of ultrasound,we can get more practical experience that good fordiagnosing Meckel’s diverticulum.