腹部和盆腔超声在慢性腹痛评估中的应用

Use of abdominal and pelvic ultrasound in the evaluation of chronic abdominal pain.

作者信息

Schmidt R E, Babcock D S, Farrell M K

机构信息

University of Cincinnati College of Medicine, Children's Hospital Medical Center, Ohio 45229-2899.

出版信息

Clin Pediatr (Phila). 1993 Mar;32(3):147-50. doi: 10.1177/000992289303200304.

DOI:10.1177/000992289303200304

PMID:8453830

Abstract

The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite the CAP; the cyst later resolved. Pain was usually localized in the periumbilical area (56%). Follow-up data were obtained from referring physicians and patients' medical records. No serious diagnosis related to CAP was missed. After six months, CAP had resolved in 43% of patients. Of the responding physicians, 61% indicated they would have used more and costlier contrast studies if ultrasonography had been unavailable.

摘要

报告了超声检查在评估儿童慢性腹痛（CAP）中的价值、CAP的特征以及当地儿科医生评估CAP的实践情况。57例CAP患儿接受了腹部和/或盆腔超声检查；56例结果正常。1例超声检查显示在与CAP相反侧有一个卵巢囊肿，该囊肿后来消失。疼痛通常位于脐周区域（56%）。通过向转诊医生和患者病历获取随访数据。未遗漏与CAP相关的严重诊断。6个月后，43%的患者CAP症状已缓解。在做出回应的医生中，61%表示如果无法进行超声检查，他们会使用更多且更昂贵的造影检查。