[儿童急腹症的放射学评估]
[Radiological evaluation of acute abdomen in children].
作者信息
Krüger P C, Mentzel H J
机构信息
Sektion Pädiatrische Radiologie, Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
出版信息
Radiologe. 2019 Feb;59(2):146-153. doi: 10.1007/s00117-018-0464-7.
CLINICAL/METHODICAL ISSUE: Acute, non-traumatic abdominal pain is one of the main reasons for medical consultation in pediatric patients. Knowledge of different diseases and their age dependence is essential for correct diagnosis and treatment.
STANDARD RADIOLOGICAL METHODS
Ultrasonography is the imaging method of choice. X‑ray is only used in case of emergency, e. g., suspected perforation.
METHODICAL INNOVATIONS
Contrast-enhanced ultrasonography (CEUS) and elastography complement ultrasonography.
PERFORMANCE
Magnetic resonance imaging is of increasing relevance for differential diagnosis of unclear sonographic results.
PRACTICAL RECOMMENDATIONS
The primary imaging modality in pediatric patients is ultrasonography. Cross-sectional imaging should only be used in cases of unclear sonographic findings.
临床/方法学问题：急性非创伤性腹痛是儿科患者就医的主要原因之一。了解不同疾病及其年龄依赖性对于正确诊断和治疗至关重要。
标准放射学方法
超声检查是首选的成像方法。X线仅在紧急情况下使用，例如怀疑穿孔时。
方法学创新
对比增强超声（CEUS）和弹性成像补充了超声检查。
性能
磁共振成像对于超声检查结果不明确的鉴别诊断越来越重要。
实用建议
儿科患者的主要成像方式是超声检查。仅在超声检查结果不明确的情况下才应使用横断面成像。
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