先天性胃壁肌层缺损并胃穿孔的X线诊断(附6例报告)  

Diagnosis of X-ray in Gastric Perforation in Neonate(A Report of 6 Cases)

作　　者：宋英儒[1] 黄仲奎[1] 龙莉玲[1] 

机构地区：[1]广西医科大学第一附属医院放射科,广西南宁530027

出　　处：《实用放射学杂志》2002年第9期775-777,共3页Journal of Practical Radiology

摘　　要：目的　探讨先天性胃壁肌层缺损的X线表现特点及诊断方法。方法　搜集经手术病理证实的 6例先天性胃壁肌层缺损 ,立位腹部平片 6例共 8次 ,卧位腹部平片 4例 5次。结果　 6例立位腹部平片均有膈下游离气体、膈膨升、横贯全腹的气液平面、胃泡消失的征象 ,并 4例有肝上缘轮廓显示 ;4例卧位腹部平片可见腹胀 ,气体增多 ,聚集于中腹部并向四周散布 ,腹壁脂肪线消失 ,肠壁花斑状即“足球征”。结论　根据X线表现并结合临床表现 。Objective To find the X-ray characteristic and diadynamic method in congenital defect of muscular layer in stomach wall. Methods Six cases confirmed by operation and pathology were collected,underwent eight standing abdomen plain films,underwent 5 decubitus abdomen plain films in 6 cases. Results The appearances in standing plain film of freeing gas under diaphragm, eventration of diaphragm, passing through the whole abdomen of gas and liquid plane, vanished gastriole were found in 6 cases. Superior border of liver was found in 4 cases.The appearances in decubitus abdomen plain films of abdominal distension, increasing gas gathered in umbilical region, vanshed fat line in abdominal wall were found in 4 cases. Conclusion Large part of typical cases could be diagnosis by x-ray and clinical appearance.

关 键 词：胃穿孔 X线诊断 先天性胃壁肌层缺损 合并症 新生儿疾病 

分 类 号：R726.566[医药卫生—儿科]