高频超声在小儿肠系膜淋巴结炎诊断中的临床价值

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Abstract Objective To analyze the clinical value of high frequency ultrasound in diagnosis of mesenteric lymphadenitis in children.Methods Altogether 52 children with mesenteric lymphadenitis who were examined in our hospital from January 2016 to June 2018 were selected as the study group,and 52 children who underwent health examination at the same time were selected as the control group.The coincidence rate of high-frequency ultrasound diagnosis was evaluated according to the results of pathological examination.The size of lymph nodes was compared between the two groups and the imaging findings of lymph nodes was analyzed.Results The coincidence rate of high-frequency ultrasonography in diagnosis of mesenteric lymphadenitis was 96.15%,and there was no statistically significant difference in comparison with pathological diagnosis results(P＞0.05).The transverse and longitudinal diameters of mesenteric lymph nodes of the study group were larger than those in the control group,with statistically significant difference(P＜0.05).The lymph nodes were centrally distributed in the right lower abdomen or umbilical cord(there were 27 cases of right lower abdominal lymph node enlargement,5 cases of left umbilical lymph node enlargement and 20 cases of periumbilical lymph node enlargement),with ellipse shape,regular morphology,clear margin,structurally-complete capsule and lymphatic hilum as well as scattered and non-fused enlarged lymph nodes.The post-treatment transverse diameter and longitudinal diameter of lymph nodes of study group were smaller than those before treatment and the aspect ratio was greater than that before treatment,with statistically significant difference (P＜0.05).Conclusion Highfrequency ultrasound has the high accuracy and easy-to-operate features in diagnosis of mesenteric lymphadenitis in children,through which doctors can analyze the imaging characteristics of nodules to determine the disease,and then provide a reference for follow-up diagnosis and treatment.

Key words： Mesenteric lymphadenitis Children High frequency ultrasound diagnosis Value

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	LAI Gan-ping

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LAI Gan-ping. Clinical value of high frequency ultrasound in diagnosis of mesenteric lymphadenitis in children[J]. 中国当代医药, 2018, 25(30): 94-96.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I30/94

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