Objective: To study the value of intestinal ultrasonography in the diagnosis of adult abdominal pain. Metnods:324 abdominal pain patients (excluded stomach and duodenum lesion,appendicitis,gynecologic lesions and simple enlargement of mesenteric lymph nodes of children) underwent two dimensional imaging by low frequency and high fre Quency probe,scanning area included the right upper abdomen,right lower Quadrant abdomenl,left upper abdomen,left low er quadrant abdomen and periumbilical region. Results:172 of them had intestinal diseases,and positive rate was 53. 09%. Main disorders included abdominal cavity effusion (26. 74% ,46/172) , thickening of bowel wall(25. 80% , 43/172) , bowel dilatation(ll. 83% ,20/172) and bowel mass(9. 30% ,16/172). Some features such as intestinal stenosis,mesenteric thick ening were rarely found. Conclusion:In adult abdominal pain,inflammatory bowel disease was the most common,followed by abdominal mass.Ultrasonography of abdominal pain patients has high diagnostic value.%目的:探讨肠道超声对成人腹痛的诊断价值.方法:搜集324例因腹痛就诊的患者(排除胃、十二指肠病变、阑尾炎、妇科腹痛及儿童单纯肠系膜淋巴结肿大患者),所有患者均应用二维超声低频及高频探头扫查,扫查范围包括右上腹、右下腹、左上腹、左下腹及脐周部.主要观察部位为腹腔、肠管及肠系膜.结果:324例因腹痛就诊的患者中,肠道超声检出172例阳性病例,阳性率为53.09%.172例阳性病例影像表现主要包括腹腔积液(26.74%0,46/172)、肠管壁增厚(25.00%,43/172)、肠管扩张(11.63%,20/172)、肠壁肿块(9.30%,16/172)等,其它影像表现如肠管狭窄、肠壁结构紊乱、腹膜增厚等发生率较低.结论:因腹痛就诊的成人患者以肠管炎性病变最为常见,其次为腹腔包块,超声检查对成人腹痛的诊断具有较高价值.
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