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目的探讨钡剂灌肠、腹部平片对新生儿先天性巨结肠X线诊断的价值。方法搜集经手术证实、病理诊断的新生儿先天性巨结肠33例,分析钡剂灌肠、腹部平片典型的及不典型的X线表现,对所得的结果进行回顾性地研究。结果本组33例新生儿中,钡剂灌肠发现为先天性巨结肠短段型1例,常见型16例,长段型2例,全结肠型5例;24 h随访钡剂潴留于整个结肠5例,部分结肠21例;直肠、乙状结肠不规则锯齿状改变2例。腹部平片表现为结肠低位不完全性梗阻及肠淤张20例;肠气偏少5例。结论运用钡剂灌肠、腹部平片等方法,检查临床初诊为先天性巨结肠的新生儿,可以提供很有价值的X线诊断。
Objective To investigate the value of barium enema and abdominal plain film in X-ray diagnosis of neonatal Hirschsprung’s disease. Methods Thirty-three cases of neonatal Hirschsprung’s disease confirmed by pathology were collected. The typical and atypical X-ray findings of barium enema and abdominal plain were analyzed. The results were retrospectively studied. Results In this group of 33 newborns, barium enema was found in 1 case of congenital megacolon short segment, 16 cases of common type, 2 cases of long segment and 5 cases of colon type. Barium retention in the entire colon 5 cases, some of the colon in 21 cases; rectal, sigmoid irregular sawtooth changes in 2 cases. Abdominal plain film showed incomplete low intestinal obstruction and intestinal silt 20 cases; intestinal gas less than 5 cases. Conclusions Barium enema, abdominal plain film and other methods to check the clinical diagnosis of Hirschsprung ’s newborn can provide valuable X - ray diagnosis.