先天性巨结肠与巨结肠类缘病的临床及影像学表现比较  

Comparison of clinical and imaging findings of Hirschsprung disease versus allied Hirschsprung disease

作　　者：林常青[1] Lin Changqing(Department of Radiology,Shanxi Children’s Hospital,Taiyuan 030013,China)

机构地区：[1]山西省儿童医院放射科,太原030013

出　　处：《中国实用医刊》2020年第4期51-54,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较先天性巨结肠、巨结肠类缘病患儿临床及影像学表现。方法选取2014年9月至2019年10月山西省儿童医院放射科收治的80例先天性巨结肠和巨结肠类缘病患儿作为本次研究对象,按照病理检查确诊结果分为A组(先天性巨结肠患儿,n=37)、B组(巨结肠类缘病患儿,n=43)。回顾性分析A组先天性巨结肠患儿、B组巨结肠类缘病患儿的临床资料,两组均于病理检查前接受X线及钡灌肠检查,分析比较两组临床资料及X线、钡灌肠检查结果。结果A组先天性巨结肠患儿、B组巨结肠类缘病患儿性别、年龄、胎龄、分娩方式、临床表现、肛检情况等数据比较,差异未见统计学意义(P>0.05)。A组X线钡灌肠表现中移行段所占比例(83.78%)高于B组(6.98%),A组不规则收缩所占比例(37.84%)低于B组(88.37%),差异有统计学意义(P<0.05);两组X线钡灌肠表现中痉挛段、钡剂残留所占比例比较,差异未见统计学意义(P>0.05);两组钡灌肠24 h后复查钡剂残留部位比较,差异未见统计学意义(P>0.05);两组扩张段结肠内径比较,差异未见统计学意义(P>0.05),A组扩张段与移行段/痉挛段肠壁间夹角大于B组(P<0.05)。结论先天性巨结肠患儿、巨结肠类缘病患儿在临床资料上多有相似性,但两者经X线钡灌肠检查仍可鉴别。Objective To compare the clinical and imaging findings of children with Hirschsprung’s disease and allied Hirschsprung’s disease.Methods A total of 80 children with Hirschsprung’s disease and allied Hirschsprung’s disease who were admitted to the Department of Radiology of Shanxi Children’s Hospital from September 2014 to October 2019 were selected as the subjects of this study. According to the results of pathological examination, they were divided into group A (children with Hirschsprung’s disease, n=37) and group B (children with allied Hirschsprung’s disease, n=43). The clinical data of patients in group A and group B were analyzed retrospectively. Both groups received X-ray and barium enema before pathological examination. The clinical data, X-ray and barium enema results were compared and analyzed.Results There was no significant difference in sex, mean age, gestational age, delivery mode, clinical manifestation, anal examination between the two groups (P>0.05). In group A, the proportion of transitional segment (83.78%) was significantly higher than that in group B (6.98%), the proportion of irregular contraction in group A (37.84%) was significantly lower than that in group B (88.37%), the difference was statistically significant (P<0.05);the proportion of spasm and barium residue in X-ray barium enema between the two groups were compared, the differences were not statistically significant (P>0.05);the residual sites of barium between the two groups after 24 hours of barium enema were compared, the differences were not statistically significant (P>0.05);the diameter of colon between the two groups was compared, the difference was not statistically significant (P>0.05);the angle between the dilated segment and the transitional segment/spasm segment was larger in group A than that in group B (P<0.05).Conclusions The clinical data of children with Hirschsprung’s disease and allied Hirschsprung’s disease are similar, but there are significant differences between them by X-ray barium enema.

关 键 词：先天性巨结肠 巨结肠类缘病 临床表现 影像学表现 

分 类 号：R72[医药卫生—儿科]