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目的探讨小儿阑尾炎与肠系膜淋巴结炎的鉴别方法,并总结心得体会。方法随机选取我院在2015年8月至2016年10月期间收治的55例急性腹痛患儿作为研究对象,所有患儿均采用腹部超声检查,检查过程中对患儿肠系膜淋巴结和阑尾进行仔细观察。结果本组患儿中,40例超声诊断肠系膜淋巴结炎患儿均可见淋巴结肿大;15例超声诊断急性阑尾炎患儿,超声显示阑尾肿大者13例,误诊、漏诊2例,诊断符合率为86.67%。结论超声诊断小儿阑尾炎与肠系膜淋巴结炎的临床价值较高,可为临床治疗提供参考依据,是临床鉴别诊断的首选影像学检查方法。
Objective To investigate the identification of pediatric appendicitis and mesenteric lymphadenitis and to summarize the experience. Methods A total of 55 children with acute abdominal pain admitted from August 2015 to October 2016 in our hospital were randomly selected. All children were examined by abdominal ultrasonography. Mesenteric lymph nodes and appendix were carefully observed during the examination . Results In this group, 40 cases of lymphadenitis were diagnosed in children with ultrasound diagnosis of mesenteric lymphadenitis. Fifteen cases of children with acute appendicitis were diagnosed by ultrasound. 13 cases were diagnosed as appendicitis by ultrasound, and 2 cases were misdiagnosed and missed. The diagnostic coincidence rate was 86.67%. Conclusion The diagnostic value of ultrasonography in children with appendicitis and mesenteric lymphadenitis is high, which can provide a reference for clinical treatment. It is the first imaging examination method for differential diagnosis of children.