【摘要】：目的探討新生兒細(xì)小結(jié)腸消化道造影表現(xiàn)并分析相關(guān)疾病的關(guān)系。方法搜集經(jīng)臨床和病理確診的新生兒細(xì)小結(jié)腸共133例。均行腹部平片與消化道造影,并依據(jù)相關(guān)疾病分類(lèi)分析X線下的腸梗阻程度與結(jié)腸管徑,進(jìn)行統(tǒng)計(jì)學(xué)比較,同時(shí)觀察相關(guān)疾病的特征表現(xiàn)。結(jié)果在133例細(xì)小結(jié)腸患兒中,先天性腸閉鎖32例,先天性腸狹窄22例,先天性腸旋轉(zhuǎn)不良48例,腹膜和腸道炎性病變19例,單純胎糞性腸梗阻6例,先天性全結(jié)腸型巨結(jié)腸5例,巨膀胱細(xì)小結(jié)腸腸蠕動(dòng)不良綜合征1例。其中腸旋轉(zhuǎn)不良以重度腸梗阻為主,先天性腸閉鎖和腸狹窄以中度和重度腸梗阻為主,而其他疾病以輕度腸梗阻為主,在統(tǒng)計(jì)學(xué)上具有顯著性差異(P0.05)。先天性腸閉鎖和腸狹窄的結(jié)腸橫徑最小,其次為腸旋轉(zhuǎn)不良結(jié)腸,與其他相關(guān)疾病之間差異具有顯著性意義(P0.05)。各種相關(guān)疾病具有一定特征性的X線征象。結(jié)論新生兒細(xì)小結(jié)腸的X線檢查可提示相關(guān)疾病引起腸梗阻和結(jié)腸狹窄的程度,以及相關(guān)疾病的特征性造影表現(xiàn),可分析其相關(guān)病因,并作定性診斷。X線檢查能為臨床診斷及治療提供可靠的依據(jù)。
[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.
【作者單位】： 廣東省東莞市婦幼保健院放射科;東莞市人民醫(yī)院放射科;
【分類(lèi)號(hào)】：R722.1;R816.92

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相關(guān)期刊論文 前9條

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本文編號(hào)：2228076