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目的评价多普勒超声诊断小儿急腹症的临床价值。方法回顾研究宝坻区人民医院2014年1月-2015年12月337例小儿急腹症患者,所有患者年龄<17其中男性224例,女性113例,年龄1~17岁,平均(7±5.1)岁,排除外伤患者。所有患者均进行腹部多普勒超声检查。患者取硬卧位腹部平扫,观察其形态、血流信号及回声等。结果337例患者中,阑尾炎确诊241例,漏/误诊24例;肠梗阻47例,漏/误诊4例;肠套叠确诊14例,漏/误诊3例;处女膜闭锁确诊3例,漏/误诊1例。结论多普勒超声是诊断小儿急腹症有效的非侵入性辅助检查手段。且诊断阳性率高、方便、经济,具有较高的临床价值,在临床诊断小儿急腹症应大力推广,为临床诊断小儿急腹症提供及时可靠的依据。
Objective To evaluate the clinical value of Doppler ultrasound in the diagnosis of children acute abdomen. Methods A total of 337 pediatric acute abdomen patients from January 2014 to December 2015 in Baoji District People’s Hospital were retrospectively studied. All patients were aged <17, including 224 males and 113 females, ranging in age from 1 to 17 years (mean, 7 ± 5.1) Old, excluding trauma patients. All patients underwent abdominal Doppler ultrasound. Patients take plain abdominal abdomen plain scan, observe the shape, blood flow signals and echo. Results Among 337 patients, 241 cases were diagnosed as appendicitis, 24 cases were missed or misdiagnosed, 47 cases were intestinal obstruction, 4 cases were missed or misdiagnosed, 14 cases were diagnosed as intussusception, 3 cases were missed or misdiagnosed, 3 cases were diagnosed as hypoventilation, missed or misdiagnosed 1 case. Conclusion Doppler ultrasound is an effective and noninvasive auxiliary examination method for diagnosis of pediatric acute abdomen. And the diagnosis of positive rate, convenient, economical, with high clinical value, in clinical diagnosis of children with acute abdomen should be vigorously promoted to provide timely and reliable basis for the clinical diagnosis of children with acute abdomen.