Najgrodzka Paulina, Buda Natalia, Zamojska Anna, Marciniewicz Ewelina, Lewandowicz-Uszyńska Aleksandra
Third Department and Clinic of Pediatrics, Immunology and Rheumatology of Developmental Age Wrocław Medical University, Wrocław.
Department and Clinic of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdańsk.
Ultrasound Q. 2019 Jun;35(2):157-163. doi: 10.1097/RUQ.0000000000000411.
Pneumonia is one of the most frequent widespread and severe infectious diseases in pediatric patients worldwide. Pneumonia is characterized by high incidence and possibility of complications in the course of the disease in pediatric patients. For this reason, there is a need to have a rapid and safe diagnostic method to recognize it. Imaging diagnostic tools, such as x-ray examinations, necessitate caution while using these methods. To date, there have been lots of studies with the aim to determine the role of lung ultrasonography (LUS) in the diagnosis of inflammatory lesions in children. Our aim was to assess the accuracy of the LUS as diagnostic method of pneumonia in children by making a systematic research of literature.
This work is a review of available literature and studies on LUS in pneumonia in children and summary of necessary information about the usefulness of LUS and sonographic findings to diagnose pneumonia in the pediatric population.
We searched the following databases: PubMed, Scopus, MEDLINE, and Ovid. The following key words were used: pediatrics, pneumonia, ultrasound, chest x-ray, and LUS.
The total search results amounted to 1987. From 1987 potentially eligible studies, 19 were included, and 3 were meta-analysis. We studied and performed the statistical analysis of the results publication.
As a result of the analysis, a significant advantage of the ultrasound examination in comparison with the x-ray study was demonstrated. Lung ultrasound could be a safe diagnostic method for this reason.
肺炎是全球儿科患者中最常见、广泛且严重的传染病之一。肺炎的特点是儿科患者在疾病过程中发病率高且有并发症发生的可能性。因此，需要一种快速且安全的诊断方法来识别它。诸如X光检查等影像学诊断工具在使用这些方法时需要谨慎。迄今为止，已有许多旨在确定肺部超声（LUS）在儿童炎症性病变诊断中作用的研究。我们的目的是通过对文献进行系统研究来评估LUS作为儿童肺炎诊断方法的准确性。
这项工作是对有关儿童肺炎中LUS的现有文献和研究进行综述，并总结有关LUS的实用性以及超声检查结果对诊断儿科人群肺炎的必要信息。
我们检索了以下数据库：PubMed、Scopus、MEDLINE和Ovid。使用了以下关键词：儿科、肺炎、超声、胸部X光和LUS。
总检索结果为1987条。从1987项可能符合条件的研究中，纳入了19项，其中3项为荟萃分析。我们对结果发表进行了研究和统计分析。
分析结果表明，与X光检查相比，超声检查具有显著优势。因此，肺部超声可能是一种安全的诊断方法。
