CAJ | 학술논문

目的：探讨小儿Meckel憩室及其并发症的高频超声声像图特点及其诊断价值°方法回顾21例经手术病理证实为Meckel憩室的小儿，分析其在术前行高频超声检查时的超声表现及特征°结果超声表现为管状回声肿块5例，囊样回声肿块6例，混合型回声肿块4例°表现为肠套叠2例，表现为肠梗阻2例，此为Meckel憩室并发症的表现°另外因气体干扰未能显示异常1例；超声未见异常1例°高频超声检查与临床诊断结果比较差异有统计学意义(P<0.05﹚°结论高频超声是有效的Meckel憩室诊断方法，部分小儿Meckel憩室术前超声可诊断°若患者表现为阑尾炎、肠套叠及肠梗阻时会因并发症声像图而掩盖原发Meckel憩室病变，造成漏诊°另外当憩室较小、位置靠后及大量肠气干扰时也容易漏诊°
목적：탐토소인Meckel게실급기병발증적고빈초성성상도특점급기진단개치°방법회고21례경수술병리증실위Meckel게실적소인，분석기재술전행고빈초성검사시적초성표현급특정°결과초성표현위관상회성종괴5례，낭양회성종괴6례，혼합형회성종괴4례°표현위장투첩2례，표현위장경조2례，차위Meckel게실병발증적표현°령외인기체간우미능현시이상1례；초성미견이상1례°고빈초성검사여림상진단결과비교차이유통계학의의(P<0.05﹚°결론고빈초성시유효적Meckel게실진단방법，부분소인Meckel게실술전초성가진단°약환자표현위란미염、장투첩급장경조시회인병발증성상도이엄개원발Meckel게실병변，조성루진°령외당게실교소、위치고후급대량장기간우시야용역루진°
Objective To investigate the high-resolution ultrasonographic characteristics and diagnostic value of pediatric Meckel's diverticulum and its complications. Methods 21 children with Meckel's diverticulum were confirmed by operation and pathology. And the preoperative high-resolution ultrasonographic appearances of them were analyzed. Results The ultrasonic manifestations of Meckel's diverticulum appeared as tubular echo mass in 5 patients, cysflike echo mass in 6 patients, complex echo mass in 4 pa_tients. And the Meckel's diverticulum appeared as intussusception in 2 patients, intestinal obstruction in 2 patients, these were the complications of Meckel's diverticulum. In addition, 1 case was not showed abnormal due to the flatus interference;and 1 case was showed normal by the ultrasonography. The difference between the result of examination of high-resolution ultrasonography and clinical diagnosis was statistically significant (P<0.05). Conclusion High-resolution ultrasonography is an effective method for the diagnosis of Meckel's diverticulm, and by which some children with Meckel's diverticulm can be diagnosed before operation. Pa_tients with appendicitis or intussusception or intestinal obstruction, might be diagnosed missedly due to the sonogram of the com_plications concealing the primary lesions of Meckel's diverticulum. Furthermore, the patients are easily diagnosed missedly when the Meckel's diverticulm is small, and locates at the back or more flatus around.