新生儿细小结肠X线和造影表现及相关疾病分析
发布时间：2018-09-07 11:03
【摘要】：目的探讨新生儿细小结肠消化道造影表现并分析相关疾病的关系。方法搜集经临床和病理确诊的新生儿细小结肠共133例。均行腹部平片与消化道造影,并依据相关疾病分类分析X线下的肠梗阻程度与结肠管径,进行统计学比较,同时观察相关疾病的特征表现。结果在133例细小结肠患儿中,先天性肠闭锁32例,先天性肠狭窄22例,先天性肠旋转不良48例,腹膜和肠道炎性病变19例,单纯胎粪性肠梗阻6例,先天性全结肠型巨结肠5例,巨膀胱细小结肠肠蠕动不良综合征1例。其中肠旋转不良以重度肠梗阻为主,先天性肠闭锁和肠狭窄以中度和重度肠梗阻为主,而其他疾病以轻度肠梗阻为主,在统计学上具有显著性差异(P0.05)。先天性肠闭锁和肠狭窄的结肠横径最小,其次为肠旋转不良结肠,与其他相关疾病之间差异具有显著性意义(P0.05)。各种相关疾病具有一定特征性的X线征象。结论新生儿细小结肠的X线检查可提示相关疾病引起肠梗阻和结肠狭窄的程度,以及相关疾病的特征性造影表现,可分析其相关病因,并作定性诊断。X线检查能为临床诊断及治疗提供可靠的依据。
[Abstract]:Objective to investigate the findings of gastrointestinal arteriography of small colon in neonates and to analyze the relationship of related diseases. Methods 133 cases of neonatal parietal colon confirmed by clinic and pathology were collected. Abdominal plain film and digestive tract angiography were performed. The degree of intestinal obstruction and the diameter of colon were analyzed according to the classification of related diseases, and the characteristics of related diseases were observed. Results among 133 children with small colon, there were 32 cases of congenital intestinal atresia, 22 cases of congenital intestinal stenosis, 48 cases of congenital intestinal malrotation, 19 cases of peritoneal and intestinal inflammatory diseases, and 6 cases of simple meconium intestinal obstruction. There were 5 cases of Hirschsprung's disease and 1 case of intestinal peristalsis syndrome. The main causes of intestinal malrotation were severe intestinal obstruction, congenital atresia and intestinal stenosis were mainly moderate and severe intestinal obstruction, while other diseases were mild intestinal obstruction, there was significant statistical difference (P0.05). The transverse diameter of colon was the smallest in congenital atresia and stenosis, followed by malrotation of colon, and there was significant difference between congenital atresia and other related diseases (P0.05). X-ray signs of various related diseases are characteristic. Conclusion X-ray examination of the small colon of the newborn can indicate the degree of intestinal obstruction and colon stenosis caused by the related diseases, as well as the characteristic features of the related diseases, and can be used to analyze the etiology of the disease. The qualitative diagnosis. X-ray examination can provide reliable basis for clinical diagnosis and treatment.
【作者单位】： 广东省东莞市妇幼保健院放射科;东莞市人民医院放射科;
【分类号】：R722.1;R816.92
[Abstract]:Objective to investigate the findings of gastrointestinal arteriography of small colon in neonates and to analyze the relationship of related diseases. Methods 133 cases of neonatal parietal colon confirmed by clinic and pathology were collected. Abdominal plain film and digestive tract angiography were performed. The degree of intestinal obstruction and the diameter of colon were analyzed according to the classification of related diseases, and the characteristics of related diseases were observed. Results among 133 children with small colon, there were 32 cases of congenital intestinal atresia, 22 cases of congenital intestinal stenosis, 48 cases of congenital intestinal malrotation, 19 cases of peritoneal and intestinal inflammatory diseases, and 6 cases of simple meconium intestinal obstruction. There were 5 cases of Hirschsprung's disease and 1 case of intestinal peristalsis syndrome. The main causes of intestinal malrotation were severe intestinal obstruction, congenital atresia and intestinal stenosis were mainly moderate and severe intestinal obstruction, while other diseases were mild intestinal obstruction, there was significant statistical difference (P0.05). The transverse diameter of colon was the smallest in congenital atresia and stenosis, followed by malrotation of colon, and there was significant difference between congenital atresia and other related diseases (P0.05). X-ray signs of various related diseases are characteristic. Conclusion X-ray examination of the small colon of the newborn can indicate the degree of intestinal obstruction and colon stenosis caused by the related diseases, as well as the characteristic features of the related diseases, and can be used to analyze the etiology of the disease. The qualitative diagnosis. X-ray examination can provide reliable basis for clinical diagnosis and treatment.
【作者单位】： 广东省东莞市妇幼保健院放射科;东莞市人民医院放射科;
【分类号】：R722.1;R816.92
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相关期刊论文 前9条
1 郑爱萍;;新生儿肠旋转不良伴中肠扭转的影像学检查[J];中外医学研究;2014年13期
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