先天性肠闭锁的X线诊断价值  

X-ray diagnostic value of congenital intestinal atresia

作　　者：方必东[1] 白光辉[1] 许崇永[1] 严志汉[1] 陈廷港[1] 

机构地区：[1]温州医学院附属育英儿童医院,浙江温州325027

出　　处：《中国临床医学影像杂志》2006年第8期450-451,460,共3页Journal of China Clinic Medical Imaging

基　　金：浙江省卫生厅科研基金资助项目(2003B124)

摘　　要：目的:探讨X线检查在先天性肠闭锁的诊断价值,提高对本病的认识。方法:搜集经手术病理证实的先天性肠闭锁42例,术前均行腹部立位平片检查,其中12例经胃管行胃及小肠碘水造影,18例行碘水灌肠检查。结果:42例中,十二指肠闭锁6例,空肠闭锁14例,回肠闭锁19例,结肠闭锁3例,腹平片可显示不同平面的肠梗阻征象。12例胃肠造影中,显示肠闭锁盲端8例,盲端未显示4例。18例灌肠造影显示为细小结肠16例(显示结肠闭锁盲端3例),正常结肠2例。结论:腹部立位平片是先天性肠闭锁的首选导向检查方法。灌肠检查对其定位、定性及鉴别诊断是十分必要的,碘水胃肠造影检查应慎重。Objective： To evaluate the X-ray appearances of congenital intestinal atresia（CIA） and to improve the understanding of this disease. Methods： Forty-two cases of CIA proved by pathology were included in the study. Before operation, erect abdominal plain radiograph were performed in all cases, iodinated aqueous contrast medium opacification through gastric canal in 12 cases, iodinated aqueous contrast solution enema in 18 cases. Results： There were 6 cases of duodenal atresia, 14 cases of jejunal atresia, 19 cases of ileal atresia and 3 cases of colon atresia in 42 cases of CIA. The X-ray plain film of abdomen can demonstrate intestinal obstruction of different levels. In 12 cases of gastroenterography, 8 cases showed the atresic caecum. In 18 cases of iodinated aqueous medium enteroclysis opacification, 16 cases demonstrated micro-colons（3 cases showed the caecum of colon atresia）, two cases were normal. Conclusion： The erect abdominal plain radiograph is the best examination method of CIA. Enema is very necessary for differential diagnosis, location and nature of CIA. iodinated aqueous medium opacification through gastric canal should be used carefully.

关 键 词：肠闭锁 放射摄影术 腹部 

分 类 号：R574[医药卫生—消化系统] R814.41[医药卫生—内科学]