212例新生儿急腹症影像学特征表现分析  

Imaging characteristics of neonatal acute abdominal disease:Analysis of 212 cases

作　　者：陶珊 王来栓 黄英 TAO Shan;WANG Laishuan;HUANG Ying(Department of Neonatology,Xiamen Children's Hospital,Fujian,Xiamen 361006,China;Department of Neonatology,Pediatric Hospital of Fudan University,Shanghai 211102,China)

机构地区：[1]厦门市儿童医院新生儿科,福建厦门361006 [2]复旦大学附属儿科医院新生儿科,上海211102

出　　处：《中国医药科学》2020年第9期9-12,共4页China Medicine And Pharmacy

基　　金：福建省厦门市科学技术局项目(3502Z20174016)。

摘　　要：目的分析新生儿急腹症的X线影像学表现,探讨其在不同急腹症中的诊断价值,为改善实验室诊断效果提供依据。方法回顾性分析我院212例经临床及手术病因确诊的新生儿急腹症X线影像学表现,比较其在各类新生儿急腹症中的准确率,分析其未能得出正确诊断结果的原因,总结其X线的特征。结果212例中,X线诊断的准确率在胃肠穿孔16例、肛门闭锁41例、膈疝5例达到100%;在食管闭锁94%(16/17)和坏死性小肠结肠炎92%(55/61)等疾病中亦有良好表现;而在其他类型准确率低于90%,分别为:先天性脐膨出及腹裂86%(6/7)、肠闭锁85%(12/14)、先天性巨结肠84%(21/25)、肠旋转不良77%(14/18)、胎粪性腹膜炎75%(6/8)。结论X线影像诊断在不同新生儿急腹症中具有不同的准确率,在未发现高准确率急腹症影像学特征的病例,应考虑结合其他检查手段,如超声、CT及MRI以提高诊断准确率。Objective To analyze the X-ray imaging manifestations of neonatal acute abdomen disease,to explore its diagnostic value in different acute abdominal diseases,and to provide a basis for improving the laboratory diagnosis.Methods A total of 212 cases of neonatal acute abdomen diagnosed by clinical and surgical etiology in X-ray imaging in our hospital were retrospectively analyzed.Their accuracy rates in different types of neonatal acute abdomen were compared to analyze the cause for the misdiagnosis and summarize their X-ray characteristics.Results In 212 cases,the accuracy of X-ray diagnosis reached 100%in gastrointestinal perforation(n=16),anal atresia(n=41),and diaphragmatic hernia(n=5);And it also performed well in esophageal atresia[94%(16/17)]and necrotizing enterocolitis[92%(55/61)];While the accuracy rate was less than 90%in other types,namely:congenital umbilical bulge and abdominal fissure[86%(6/7)],intestinal atresia[85%(12/14)],congenital megacolon[84%(21/25)],intestinal malrotation[77%(14/18)],and meconium peritonitis[75%(6/8)].Conclusion X-ray imaging diagnosis displays different accuracy rates in different neonatal acute abdominal diseases.In cases where high-accuracy imaging features of acute abdomen are not found,other examination methods such as ultrasound,CT and MRI should be considered to enhance the diagnostic accuracy.

关 键 词：新生儿急腹症 X线 回顾性研究 影像特点 

分 类 号：R726.5[医药卫生—儿科]