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本文收治3个月以下小婴儿肠重复畸形19例,主要临床表现为腹部肿块、渐进性肠梗阻和便血三大症状。B超、腹平片和99锝可协助诊断。本组术前诊断率为47%高于文献报告的20%~30%.本文认为小婴儿如出现不明原因的肠梗阻或血便伴有腹部肿块时应高度怀疑肠重复畸形同时与先天性巨结肠、肠套叠和美克尔憩室出血相鉴别。治疗方法以手术切除畸形肠管为主。
This article admitted to less than 3 months in 19 infants with small intestine deformity, the main clinical manifestations of abdominal mass, progressive intestinal obstruction and blood in the three major symptoms of blood in the stool. B ultrasound, abdominal plain film and 99 technetium can help diagnose. The preoperative diagnosis rate was 47% higher than the reported 20% to 30%. This article suggests that small infants such as unexplained intestinal obstruction or bloody stools associated with abdominal mass should be highly suspected intestinal deformity at the same time with the Hirschsprung’s disease, intussusception, and Merck’s diverticular hemorrhage phase identification. Treatment of surgical removal of deformed intestine-based.