超声对诊断小儿结肠炎的准确性及在预后评估中的应用价值(1)
【摘要】 目的：研究与分析超声对诊断小儿结肠炎的准确性及预后评估中的应用价值。方法：选取本院2014年1月1日-2017年12月31日收治的45例小儿结肠炎患儿为研究对象，回顾性分析其全部的临床资料，所有患儿均实施超声检查。以内镜检查结果为金标准，观察分析超声诊断小儿结肠炎的准确性以及超声表现。结果：经超声检查，45例患者中肠壁增厚诊断准确性为91.11%(41/45)，即41例患儿肠壁厚度>4 mm；而炎症部位诊断准确性为84.44%(38/45)。超声表现：患儿腹部可见相应结肠肠壁肿胀，肠管壁增厚，以黏膜及黏膜下层为主，严重时累及全结肠，层次消失，且回声减低不均；肠管蠕动未见异常，可有肿大的系膜淋巴结，CDFI：增厚肠壁探及稍丰富血流信号，无明显肠气回声，肠腔狭窄，病变呈环形；腹腔可见少量液性暗区，最大深度约11 mm。超声提示存在节段性肠管壁增厚，待排腹型紫癜或肠炎声像；少量腹水等。结论：小儿结肠炎采用超声诊断具有较高准确性，且具有重复性好、无创安全等优势，因此可为小儿结肠炎预后评估提供可靠依据。
【关键词】 小儿结肠炎； 超声； 肠壁增厚
, http://www.100md.com
Accuracy of Ultrasound in Diagnosis of Children with Colitis and Its Value in Prognosis Evaluation/ZHU Yinghong，LIN Shulian，YU Feng，et al.//Medical Innovation of China，2018，15(13)：112-114
【Abstract】 Objective：To study and analyze the accuracy of ultrasound in diagnosis of children with colitis and its application in prognosis evaluation.Method：A total of 45 children with colitis(2-16 years) in our hospital from January 1，2014 to December 31，2017 were enrolled in this study.All clinical data were retrospectively analyzed.All children Ultrasound examination was performed.To endoscopy as the gold standard，the accuracy of ultrasound diagnosis of children with colitis and ultrasound performance were observed and analyzed.Result：The diagnostic accuracy of the midgut wall thickening was 91.11%(41/45)in 45 children，the thickness of the intestinal wall in 41 children>4 mm.The diagnostic accuracy of the inflammation site was 84.44%(38/45).Ultrasonography：The left flank of the child was thickening of the intestinal wall，mainly to the mucosa and submucosa，involved the whole colon，and reduced the echo；intestinal peristalsis was no abnormality.CDFI：A little rich blood flow signals，no obvious intestinal gas echo，intestinal stenosis，lesions were annulus；few liquid dark areas were found in abdominal cavity，the maximum depth was 11 mm.Ultrasound prompted the existence of segmental bowel wall thickening，to be discharged row of purpura or enteritis pancreas；a small amount of ascites.Conclusion：Ultrasound diagnosis is high accuracy in children with colitis，and has good repeatability，non-invasive safety and other advantages，it can provide a reliable basis for the assessment of prognosis in children with colitis.
, 百拇医药
【Key words】 Children with colitis； Ultrasound； Thickening of the intestinal wall
First-author’s address：The Eighth People’s Hospital of Dongguan，Dongguan 523321，China
doi：10.3969/j.issn.1674-4985.2018.13.031
在臨床上，小儿结肠炎是一种常见的慢性炎症肠病，一般以感染性结肠炎多见，溃疡性结肠炎较少见，其具有一定非特异性，主要表现为反复或持续发作性腹泻、腹痛等症状，既会导致患者肠道免疫功能紊乱，还会引发程度不同的全身炎症[1-3]。已有临床研究表明，在小儿消化系统常见病中，结肠炎是导致其慢性腹泻的关键病因，它不仅会对患儿的生活质量产生严重影响[4-6]，还具有一定的恶变风险。因此本文选取本院2014年1月1日-2017年12月31日收治的45例小儿结肠炎患儿为研究对象，即对超声对诊断小儿结肠炎的准确性及预后评估中的应用价值进行了研究与分析，现报道如下。, http://www.100md.com(朱映红 林淑莲 余凤 蒋双兰 李国斌)
【关键词】 小儿结肠炎； 超声； 肠壁增厚
, http://www.100md.com
Accuracy of Ultrasound in Diagnosis of Children with Colitis and Its Value in Prognosis Evaluation/ZHU Yinghong，LIN Shulian，YU Feng，et al.//Medical Innovation of China，2018，15(13)：112-114
【Abstract】 Objective：To study and analyze the accuracy of ultrasound in diagnosis of children with colitis and its application in prognosis evaluation.Method：A total of 45 children with colitis(2-16 years) in our hospital from January 1，2014 to December 31，2017 were enrolled in this study.All clinical data were retrospectively analyzed.All children Ultrasound examination was performed.To endoscopy as the gold standard，the accuracy of ultrasound diagnosis of children with colitis and ultrasound performance were observed and analyzed.Result：The diagnostic accuracy of the midgut wall thickening was 91.11%(41/45)in 45 children，the thickness of the intestinal wall in 41 children>4 mm.The diagnostic accuracy of the inflammation site was 84.44%(38/45).Ultrasonography：The left flank of the child was thickening of the intestinal wall，mainly to the mucosa and submucosa，involved the whole colon，and reduced the echo；intestinal peristalsis was no abnormality.CDFI：A little rich blood flow signals，no obvious intestinal gas echo，intestinal stenosis，lesions were annulus；few liquid dark areas were found in abdominal cavity，the maximum depth was 11 mm.Ultrasound prompted the existence of segmental bowel wall thickening，to be discharged row of purpura or enteritis pancreas；a small amount of ascites.Conclusion：Ultrasound diagnosis is high accuracy in children with colitis，and has good repeatability，non-invasive safety and other advantages，it can provide a reliable basis for the assessment of prognosis in children with colitis.
, 百拇医药
【Key words】 Children with colitis； Ultrasound； Thickening of the intestinal wall
First-author’s address：The Eighth People’s Hospital of Dongguan，Dongguan 523321，China
doi：10.3969/j.issn.1674-4985.2018.13.031
在臨床上，小儿结肠炎是一种常见的慢性炎症肠病，一般以感染性结肠炎多见，溃疡性结肠炎较少见，其具有一定非特异性，主要表现为反复或持续发作性腹泻、腹痛等症状，既会导致患者肠道免疫功能紊乱，还会引发程度不同的全身炎症[1-3]。已有临床研究表明，在小儿消化系统常见病中，结肠炎是导致其慢性腹泻的关键病因，它不仅会对患儿的生活质量产生严重影响[4-6]，还具有一定的恶变风险。因此本文选取本院2014年1月1日-2017年12月31日收治的45例小儿结肠炎患儿为研究对象，即对超声对诊断小儿结肠炎的准确性及预后评估中的应用价值进行了研究与分析，现报道如下。, http://www.100md.com(朱映红 林淑莲 余凤 蒋双兰 李国斌)