Dahl M, Pedersen L V
Paediatrisk afdeling, Esbjerg Centralsygehus.
Ugeskr Laeger. 1996 Jan 15;158(3):278-81.
The medical records were reviewed for 109 children (0-15 years) who were investigated by abdominal ultrasonography as part of the evaluation of recurrent abdominal pain. We characterised this group of children in an attempt to localise the characteristics that would predict abnormal findings by abdominal ultrasonography. We conclude that neither location, frequency or duration of pain, nor sex nor age have any predictive value. All abnormal findings seen by abdominal ultrasonography could have been revealed by a carefully taken history, thorough clinical examination and commonly performed laboratory tests, such as urine analysis. We recommend that abdominal ultrasonography should only be used in the evaluation of recurrent abdominal pain in children if there are other characteristics, such as a history of cystitis.
对109名0至15岁因反复腹痛接受评估而进行腹部超声检查的儿童的病历进行了回顾。我们对这组儿童进行了特征描述,试图确定能够预测腹部超声检查异常结果的特征。我们得出结论,疼痛的部位、频率或持续时间、性别以及年龄均无任何预测价值。腹部超声检查所见的所有异常结果,通过仔细询问病史、全面的临床检查以及常规的实验室检查(如尿液分析)均能够发现。我们建议,只有在存在其他特征(如膀胱炎病史)的情况下,才应使用腹部超声检查来评估儿童反复腹痛。