CAJ | 학술논문

目的探讨超声对小儿胃肠道急腹症的诊断价值。方法分析364例以胃肠道急腹症为主要临床表现患儿的CT诊断资料及超声诊断资料，将CT诊断符合率与超声诊断符合率进行对比性分析。结果急性阑尾炎、肠套叠、肠梗阻、肠系膜淋巴结炎、急性出血性坏死性肠炎、急性过敏性紫癜（腹型）、小儿肠憩室的CT诊断符合率明显低于超声诊断符合率，数据依次为：78．8％vs95．3％，86．6％vs100％，78．6％vs100％，92．0％vs100％，18．2％vs63．6％，10％vs60％，0％vs23％，差异均有统计学意义（ P＜0．05）。结论超声对小儿胃肠道急腹症的诊断具有重要价值，超声可作为诊断小儿胃肠道急腹症的首选影像学方法。
목적탐토초성대소인위장도급복증적진단개치。방법분석364례이위장도급복증위주요림상표현환인적CT진단자료급초성진단자료，장CT진단부합솔여초성진단부합솔진행대비성분석。결과급성란미염、장투첩、장경조、장계막림파결염、급성출혈성배사성장염、급성과민성자전（복형）、소인장게실적CT진단부합솔명현저우초성진단부합솔，수거의차위：78．8％vs95．3％，86．6％vs100％，78．6％vs100％，92．0％vs100％，18．2％vs63．6％，10％vs60％，0％vs23％，차이균유통계학의의（ P＜0．05）。결론초성대소인위장도급복증적진단구유중요개치，초성가작위진단소인위장도급복증적수선영상학방법。
Objective To explore the gastrointestinal tract in children gastrointestinal abdominal emergency ultra -sound diagnostic value .Methods The CT data and ultrasonic data of 364 cases children gastrointestinal abdominal e-mergency were Retrospectively analyzed .The diagnosis rate of CT and ultrasonography were compared .Results Com-pared with The diagnosis rate of ultrasonography ,the diagnosis rate of CT were significantly lower in acute appendicitis , intussusception ,intestinal obstruction , mesenteric lymphadenitis , acute hemorrhagic necrotizing enterocolitis , abdominal purpura, Pediatric diverticulosis.78.8%vs95.3%,86.6%vs100%,78.6%vs100%,92.0%vs100%,18.2%vs63.6%, 10%vs60%,0%vs23%respectively(P<0.05).Conclusions Ultrasonography has important value in the diagnosis of children gastrointestinal abdominal emergency .ultrasonography should be considered as the first imaging methods for di-agnosis of children gastrointestinal abdominal emergency .