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目的增强对胎粪性腹膜炎(MP)的影像认识,提高诊断、鉴别诊断能力。方法回顾性分析12例MP的临床、X线及超声的影像学表现,其中9例经手术证实,3例为临床综合诊断。结果根据X线表现,12例中3例表现为腹膜炎型,7例表现为肠梗阻型,2例表现为单纯钙化型,12例中7例出现典型的腹部钙化。12例中3例行超声检查显示腹腔内钙化强回声光团伴后方声影。结论胎粪性腹膜炎(MP)具有较典型的临床及影像学特征。
Objective To enhance the imaging awareness of meconium peritonitis (MP) and improve the ability of diagnosis and differential diagnosis. Methods Retrospective analysis of 12 cases of MP clinical, X-ray and ultrasound imaging findings, of which 9 cases were confirmed by surgery, 3 cases for clinical diagnosis. Results According to the X-ray findings, 3 of 12 cases showed peritonitis, 7 cases showed ileus, 2 cases showed simple calcification, and 7 cases showed typical calcification of the abdomen. Three of the 12 patients underwent ultrasonography to show the intracavitary calcified echogenic group with posterior sonography. Conclusion Meconium peritonitis (MP) has more typical clinical and imaging features.