Zganjer M, Roic G, Cizmic A, Pajic A
Department of Pediatric Surgery, Children's Hospital Zagreb, Croatia.
Bratisl Lek Listy. 2005;106(6-7):201-2.
The purpose of our study is to emphasize the central role of ultrasound (US) in finding the cause of abdominal pain in children. Ultrasound of the lower abdomen quadrant should be considered in all cases in which the clinical signs and symptoms are not diagnostic of appendicitis. There is a wide range of clinical syndromes and diseases which can easily be diagnosed using a high resolution ultrasound with adjunct of color and power Doppler. The spectrum of abnormalities includes appendicitis, mesenteric lymphadenitis, infectious ileocecitis, Crohn's disease, intussusception, ovarian cysts, and encysted cerebrospinal fluid. One of the most common causes of acute abdominal pain in children is acute terminal ileitis (infectious ileocecitis) with mesenteric lymphadenitis. Ultrasound is the best tool to rapidly differentiate this disease from acute appendicitis, and prevent unnecessary laparotomy (Ref. 12).
我们研究的目的是强调超声（US）在查找儿童腹痛病因方面的核心作用。对于临床体征和症状不能诊断为阑尾炎的所有病例，均应考虑进行下腹部象限超声检查。利用高分辨率超声并辅以彩色和能量多普勒，可以轻松诊断多种临床综合征和疾病。异常情况包括阑尾炎、肠系膜淋巴结炎、感染性回盲部炎、克罗恩病、肠套叠、卵巢囊肿和包裹性脑脊液。儿童急性腹痛最常见的病因之一是伴有肠系膜淋巴结炎的急性末端回肠炎（感染性回盲部炎）。超声是快速鉴别这种疾病与急性阑尾炎并避免不必要剖腹手术的最佳工具（参考文献12）。
