CAJ | 학술논문

目的探讨超声在小儿腹痛病因诊断及诊疗中的应用价值.方法对我院97例小儿腹痛患者中随机抽取进行彩色多普勒超声诊断,且在超声引导下行水压灌肠治疗肠套叠,对其诊断结果进行总结分析,并将超声诊断与术后病理或其他检查及治疗后复诊结果相对照.结果 97例小儿腹痛,超声检查未见异常共32例占32.9%,超声诊断异常共65例占67.1%,超声诊断阳性患儿中共误诊2例,准确率97.9%.急性肠套叠1l例,占总体异常者11.3%,均经水压灌肠复位治疗成功.结论超声对于明确小儿腹痛原因具有很高的价值,彩色多普勒高频超声在诊断急腹症的肠套叠具有无创性、高度敏感性和特异性,是诊断小儿肠套叠的首选方法,对指导其无创复位治疗有一定参考价值.
목적 탐토초성재소인복통병인진단급진료중적응용개치.방법 대아원97례소인복통환자중수궤추취진행채색다보륵초성진단,차재초성인도하행수압관장치료장투첩,대기진단결과진행총결분석,병장초성진단여술후병리혹기타검사급치료후복진결과상대조.결과 97례소인복통,초성검사미견이상공32례점32.9%,초성진단이상공65례점67.1%,초성진단양성환인중공오진2례,준학솔97.9%.급성장투첩1l례,점총체이상자11.3%,균경수압관장복위치료성공.결론 초성대우명학소인복통원인구유흔고적개치,채색다보륵고빈초성재진단급복증적장투첩구유무창성、고도민감성화특이성,시진단소인장투첩적수선방법,대지도기무창복위치료유일정삼고개치.
Objective To explore the application value of ultrasound in thediagnosis and treatment of abdominal pain in children. Methods Color Doppler ultrasonography was performed on 97 cases in our hospital were randomly selected children with abdominal pain,at the same time in the ultrasound guided hydrostatic enema in the treatment of pediatric acute intussusception were diagnosed and the diagnosis were analyzed,and the ultrasonic diagnosis and postoperative pathology or otherexamination and treatment after follow-up results contrast. Results 97 cases of abdominal pain in children,the ultrasound findings were abnormal in 32 cases accounted for 32.9%, ultrasound diagnosis of 65 cases of abnormal accounted for 67.1%, children with positive the misdiagnosis of ultrasound diagnosis in 2 cases, the accurate rate was 97.9%.Acute intussusception 11 cases, total abnormal 11.3%,the reduction of hydrostatic enema treatment success. Conclusions Ultrasound has high value for the specific causes of abdominal pain in children, high frequency color Doppler Ultrasound in the diagnosis of acuteintussusception is non-invasive, high sensitivity and specificity, is the first choice for the diagnosis of intussusception in children,have a certain reference value for guiding the noninvasivereduction treatment.