先天性巨结肠类缘病与先天性巨结肠的钡灌肠表现对照分析

发布时间：2018-04-28 21:22

本文选题：先天性巨结肠类缘病 + 先天性巨结肠　；参考：《放射学实践》2015年02期

【摘要】：目的:对照分析先天性巨结肠类缘病(HAD)与先天性巨结肠(HD)的钡灌肠(BE)表现,以提高对HAD的诊断水平。方法:回顾性分析经病理证实的22例HAD(HAD组为研究组)的BE表现,并与22例HD(HD组为对照组)的BE表现进行对照,分析两组间痉挛段、移行段出现概率、扩张段与移行段/痉挛段之间肠壁夹角、24h后钡剂残留位置及概率的差异。结果:HAD组与HD组间移行段出现概率、扩张段与移行段/痉挛段之间肠壁夹角的差异均有统计学意义(P=0.014,P=0.000);而痉挛段出现概率、24h后钡剂残留位置的差异均无统计学意义(P=0.240,P=0.185)。结论:HAD与HD的BE表现类似;移行段较少出现、扩张段与移行段/痉挛段之间肠壁夹角较大,可能有助于HAD诊断。
[Abstract]:Objective: to analyze the barium enema of Hirschsprung's disease (Had) and Hirschsprung's disease (HD) in order to improve the diagnostic level of HAD. Methods: the findings of be in 22 cases of pathologically proved HAD(HAD group were analyzed retrospectively, and compared with 22 cases of HD(HD group (control group). The occurrence probability of spastic segment and transitional segment between the two groups were analyzed. The difference of barium residue position and probability after 24 hours of intestinal wall angle between dilated segment and transitional segment / spastic segment. Results there were significant differences in the probability of transition between the two groups, the difference of the angle between the dilated segment and the transitional segment / spasm segment was statistically significant, but there was no significant difference in the barium residue position between the spasm stage and the spasmodic segment after 24 hours. Conclusion the findings of be in the two groups are similar to those in HD, the transitional segment is less common and the angle between the dilated segment and the transitional / spastic segment is larger, which may be helpful for the diagnosis of HAD.
【作者单位】：中山市人民医院放射影像中心;佛山市第一人民医院影像科;中山大学附属第五医院放射科;
【基金】：中山市科技计划资助项目(20122A158)
【分类号】：R726.5;R816.92

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