新生儿先天性巨结肠的X线诊断(附33例报告)  

X-ray Diagnosis of Hirschsprung's Disease in Neonates:A Report of 33Cases

作　　者：王克明[1] 孙洁[1] 林飞飞[1] 谢娜[1] 赵彩蕾[1] 徐大勇[1] 向葵[1] 

机构地区：[1]深圳市儿童医院放射科,广东深圳518026

出　　处：《实用放射学杂志》2008年第6期830-832,共3页Journal of Practical Radiology

摘　　要：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 discuss the diagnostic value of barium enema and abdominal X - ray plain films for Hirschsprung＇ s disease in neonates . Methods 33 neonates with Hirschsprung＇ s disease proved by colonic surgery or rectal biopsy were collected . The typical and atypical X - ray features on barium enema and abdominal X - ray plain films were retrospectively analysed. Results In 33 cases, barium enema showed a case of short segment type Hirschsprung＇ s disease, 16 cases of common type, 2 cases of long segment type and 5 cases of whole colon type . Barium retention in the whole colon in 5 cases and in a part of colon in 21 cases were seen after 24 hours follow - up . 2 cases showed irregular bizarre saw - toothed change of rectum and sigmoid colon . On abdominal X - ray plain films, 20 cases showed low colonic obstruction and intestinal distention and 5 cases showed less air in intestines. Conclusion Barium enema and abdominal plain films can afford the valuable X - ray diagnosis for Hirschsprung＇ s disease in neonates suspected initially by clinician.

关 键 词：新生儿 先天性巨结肠 钡剂灌肠 X线摄影 

分 类 号：R574.62[医药卫生—消化系统] R814.41[医药卫生—内科学]