急性肠套叠患儿腹部X线平片的诊断价值  

Value of abdominal X-ray plain film in diagnosis of intussusception in children

作　　者：郭万亮[1] 周珉[1] 汪健[2] 盛茂[1] 任彦[1] 王琪[1] 李京恩[1] 杨复宾[1] 

机构地区：[1]苏州大学附属儿童医院影像科,215003 [2]苏州大学附属儿童医院小儿外科,215003

出　　处：《江苏医药》2010年第22期2648-2649,共2页Jiangsu Medical Journal

基　　金：苏州市应用基础研究基金资助项目(YJS0934)

摘　　要：目的探讨急性肠套叠患儿腹部X线平片的诊断价值。方法收集95例急性肠套叠患儿病理和腹部X线资料,分析X线表现与肠管病理改变的一致性。结果腹部X线表现为肠管血运障碍者30例,腹部X线表现为局限性积气扩张者36例,腹部无气者4例,肠管内软组织肿块者25例。X线表现和发病时间密切相关(P<0.05)。X线观察肠管血运障碍与病理对照,二者有良好的一致性(Kappa=0.7128)。肠套叠病理类型不同,腹部X线表现有所不同。结论腹部X线平片对儿童急性肠套叠患者病情评估具有一定价值。Objective To evaluate the significance of abdominal X-ray plain film in diagnosis of intussusception in children.Methods Data of abdominal X-ray plain film and pathological diagnosis in 95 children with intussusception were retrospectively analyzed.Results Abdominal X-ray plain film showed paucity of bowel gas in 4 cases,quadrant gas in 36 cases and mass or crescent in 25 cases.The features of intestinal obstruction with vascular compromise on the X-ray plain film was shown in 30 cases,which was highly concordant with pathology（Kappa=0.7128）.Conclusion Abdominal X-ray plain film has a certain value in diagnosis of intussusception in children.

关 键 词：肠套叠 腹部X线平片 

分 类 号：R445[医药卫生—影像医学与核医学]