婴幼儿膈疝与膈膨升的临床和X线分析  

Clinical and radiological analysis of children idiopathic diaphragmatic hernia and diaphragmatic eventration

作　　者：冯锦兰[1] 刘立玮[1] 

机构地区：[1]广州市儿童医院,510120

出　　处：《影像诊断与介入放射学》2008年第5期223-225,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨婴幼儿膈疝与膈膨升的诊断和鉴别诊断。方法回顾性分析本院1975～2006年临床确诊的31例婴幼儿膈疝及12例膈膨升临床影像资料。结果膈疝发病年龄较膈膨升早,临床症状重,预后差。预后与膈疝裂孔大小相关。两者影像学上有异同点。一些疑似肺部疾病的不典型膈疝病例,胃肠造影对于避免误诊有很重要的价值。结论检查小儿先天性膈疝与膈膨升可通过胸腹部平片及胃肠钡餐检查,确诊率可达90%,若结合CT、腹部B超、临床资料,确诊率可达98%。Objective To study the diagnosis and distinction of idiopathic diaphragmatic hemia and diaphrag-matic eventration. Methods The clinical data and imaging findings of 31 cases of idiopathic diaphragmatic hernia and 12 cases of diaphragmatic eventration treated in our hospital between 1975 and 2006 were analyzed retrospectively. Results Diaphragmatic hernia happens more early than diaphragmatic Eventration ,and have more serious symptoms and worse progmosis. The prognosis is connected with the size of gap in diaphragmatic .There are distinction between them in radiol-ogy.lt is valuable to avoid an erroneous diagnosis thtough barium meal, especially for some atypical diaphragmatic hernia which is similar to pulmonary. Conclusion We can find diaphragmatic hernia and di aphrag matic Eventration by radio-graph and barium meal .The percentage of diagnose attain 90% .If CT,USI and clinical data are combine to diagnosis, the percentage of diagnose will attain 98%.

关 键 词：疝 横膈 诊断 误诊 

分 类 号：R726.5[医药卫生—儿科] R816.92[医药卫生—临床医学]