新生儿急性坏死性小肠结肠炎62例影像学分析  

Newborn acute necrotizing enterocolitis radiographic analysis of 62 cases

作　　者：罗世康[1] 

机构地区：[1]广东省中山市博爱医院放射科,528403

出　　处：《实用医学影像杂志》2015年第2期156-158,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨影像学技术在新生儿坏死性小肠结肠炎(NEC)诊断中的应用,提高临床诊断率。方法选取了2009年7月至2014年7月我院收治的坏死性小肠结肠炎患儿共62例,进行腹部X线检查,并对影像学诊断资料进行观察分析。结果临床X线检查结果显示肠壁积气28例、气腹19例、肠梗阻15例,其中肠壁积气主要包括黏膜下、浆膜下积气、节段性积气以及合并门脉积气等。根据分期诊断要件分为三期,第一期27例;第二期22例;第三期13例。结论临床诊断中,X线片显示部分肠壁囊样积气对诊断NEC具有重要价值,早期诊断对患者治疗意义重大,通过多次随访检查来提高诊断率,有效改善预后。Objective Explore the imaging technology used in neonatal necrotizing enterocolitis （NEC） diagno-sis and improve the clinical diagnosis. Methods Select the July 1, 2009 to July 30, 2014 Ⅰnecrotizing enterocolitis in children admitted to hospital a total of 62 cases, abdominal X-ray examination, and diagnostic imaging data were observed and analyzed. Results Clinical x-ray examination showed pneumatosis 28 cases, 19 cases of pneumoperi-toneum, 15 cases of intestinal obstruction, including pneumatosis including major submucosal, subserosal product gas, gas accumulation and consolidation of segmental portal pneumatosis and so on. According to the diagnostic elements are divided into three phases, the first phase there are 27 cases; Phase Ⅱ has 22 cases; Phase Ⅲ has 13 cases. Conclusion Clinical diagnosis, X-ray showed partial intestinal cystic pneumatosis of great value in the diagnosis of NEC, the early diagnosis of treatment in patients with major significance to improve the diagnosis rate through several follow-up examinations, effectively improve the prognosis.

关 键 词：婴儿 新生 小肠结肠炎 坏死性 结肠成像 计算机体层摄影 

分 类 号：R722.1[医药卫生—儿科]