分析小儿流行性腮腺炎患者的声像图改变及临床价值

发布时间：2018-07-04 11:27

本文选题：流行性腮腺炎 + 超声表现　；参考：《中国超声医学杂志》2016年01期

【摘要】：目的分析小儿流行性腮腺炎患者腮腺及腹部的声像图改变,并探讨其临床价值。方法联合应用高频超声及腹部超声检测21例流行性腮腺炎患儿及10例正常儿童的腮腺及周围淋巴结、肝脏、脾脏及胆囊的超声表现及血流情况。结果流行性腮腺炎患儿与对照组中腮腺厚径、腮腺内低回声数量及腮腺周围淋巴结数量有显著统计学差异(P0.05),门、脾静脉内径及脾脏厚径、长径无统计学差异(P0.05)。21例患儿腮腺轮廓模糊(16/21,76%),回声增粗、增强(21/21,100%),血流信号部分增多(11/21,52%),腮腺内多发低回声(17/21,81%),腮腺旁多发淋巴结肿大(19/21,90%)。肝实质回声增粗、增强(18/21,86%),门静脉管壁回声增强(18/21,86%),部分呈双边影征(11/21,52%)。胆囊壁改变不明显。结论超声能清楚的显示小儿流行性腮腺炎时腮腺的受损情况及腹部的相应声像图改变,能为临床提供较客观的诊断依据。
[Abstract]:Objective to analyze the sonographic changes of parotid gland and abdomen in children with epidemic parotitis and to explore its clinical value. Methods the ultrasound findings and blood flow of parotid gland and surrounding lymph nodes, liver, spleen and gallbladder of 21 children with epidemic parotitis and 10 normal children were detected by high frequency ultrasound and abdominal ultrasound. Results there were significant differences in the thickness of parotid gland, the number of hypoechoic in parotid gland and the number of lymph nodes around parotid gland between children with epidemic parotitis and control group (P0.05). The internal diameter of portal, splenic vein and thickness of spleen were significantly different between children with epidemic parotitis and control group (P0.05). There was no significant difference in long diameter (P0.05). 21 cases had vague parotid outline (16% 21 / 21 76%), increased echo (21% / 21 100%), increased blood flow signal (11% / 21 1 / 52%), multiple hypoechoic in parotid gland (17 / 21 1 / 81%), multiple lymphadenopathy around parotid gland (19 / 21 90%). The echo of hepatic parenchyma was thicker and enhanced (18 / 21 / 86%), portal vein wall was enhanced (18 / 21 / 86%) and partly showed bilateral sign (11 / 21 / 52%). The change of gallbladder wall was not obvious. Conclusion Ultrasound can clearly show the damage of parotid gland and the changes of abdominal sonogram in children with epidemic parotitis, and can provide more objective diagnostic basis for clinical diagnosis.
【作者单位】：首都医科大学附属北京佑安医院超声科;
【分类号】：R725.1;R445.1

【相似文献】