Gongidi Preetam, Bellah Richard D
Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3401 Civil Center Boulevard, Room #3W47, Main Building, Philadelphia, PA, 19104, USA.
Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3401 Civil Center Boulevard, Room #3W12, Main Building, Philadelphia, PA, 19104, USA.
Pediatr Radiol. 2017 Aug;47(9):1091-1100. doi: 10.1007/s00247-017-3928-4. Epub 2017 Aug 4.
Appendicitis is the most common pediatric surgical emergency. Ultrasound (US) receives the highest appropriate rating scale in children with right lower quadrant pain suspected to have appendicitis. The US exam of the appendix has improved since Puylaert pioneered the technique of graded compression in 1986. In this article, we review ultrasonography of the pediatric appendix as it pertains to the normal appendix, acute appendicitis and the different sonographic manifestations. We also briefly describe technical optimization of image acquisition, common pitfalls and differential diagnoses.
阑尾炎是最常见的小儿外科急症。对于怀疑患有阑尾炎且有右下腹疼痛的儿童，超声检查（US）的适宜性评级最高。自1986年普伊拉特开创分级加压技术以来，阑尾的超声检查有了改进。在本文中，我们回顾小儿阑尾的超声检查，内容涉及正常阑尾、急性阑尾炎以及不同的超声表现。我们还简要描述了图像采集的技术优化、常见陷阱及鉴别诊断。
