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目的 探讨成人先天性巨结肠症 (AHD)的临床、X线表现特点及其与病理的关系。材料与方法 回顾性分析 4例AHD的临床、X线表现并与病理学所见进行对照。结果 全部病例均有慢性便秘症状 ,X线表现与小儿Hirschsprung’s病相仿 ,惟前者结肠狭窄段较短。病理上病变段肠管神经节细胞以稀少、变性为主 3例 ,缺如者仅 1例。结论 钡灌肠检查为AHD主要临床确诊方法 ,成人慢性便秘者应首选钡灌肠检查 ,如显示出结肠边缘光滑的狭窄段及近端肠腔相应扩张 ,可提示AHD的诊断。
Objective To investigate the clinical and radiographic features of adult Hirschsprungs disease (AHD) and its relationship with pathology. Materials and Methods Retrospective analysis of 4 cases of AHD clinical, X-ray findings and pathological findings were compared. Results All patients had chronic constipation symptoms. The X-ray findings were similar to those of children with Hirschsprung’s disease, but the former had shorter colon stenosis. Pathological lesions of intestinal ganglion cells sparse, degeneration mainly in 3 cases, lack of only 1 case. Conclusions Barium enema examination is the main clinical diagnosis of AHD. Barium enema examination should be the first choice for adult patients with chronic constipation. For example, the stenosis of the colonic margin and the proximal intestine may be correspondingly dilated, suggesting the diagnosis of AHD.