腹部超声在新生儿坏死性小肠结肠炎病情评估的价值  

The Value of Abdominal Ultrasonography in Evaluating the Condition of Neonatal Necrotizing Enterocolitis

作　　者：杨天骄 柯创宏 YANG Tianjiao;KE Chunaghong(Ultrasound,Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong 524001;Children's Medical Center,Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong 524001)

机构地区：[1]广东医科大学附属医院儿童医学中心,广东湛江524001 [2]广东医科大学附属医院超声科,广东湛江524001

出　　处：《智慧健康》2022年第31期159-162,共4页Smart Healthcare

基　　金：湛江市科技攻关计划项目《腹部超声在新生儿食物蛋白诱导的小肠结肠炎综合征与新生儿坏死小肠结肠炎鉴别的价值》(项目编号:2021B01358)。

摘　　要：目的探讨腹部超声在新生儿坏死性小肠结肠炎(NEC)病情评估的价值。方法回顾性分析2016年8月-2019年7月广东医科大学附属医院新生儿科NEC病例,NEC病情严重程度评估是根据修正Bell-NEC分级诊断分为轻症NEC组和重症NEC组,根据治疗方式分为内科治疗组及手术治疗组;比较各组的临床资料、各组腹部超声征象与腹部X线差异。结果入组病人共82例,其中轻症NEC组50例、重症NEC组32例,在轻症NEC组及重症NEC组的腹部超声征象(肠壁积气、肠壁增厚及肠管扩张)阳性率均显著高于腹部X线检测(P<0.05);内科治疗组66例、手术治疗组16例,手术治疗组中,腹部超声征象(肠壁积气、肠壁增厚)的阳性率显著高于腹部X线(P<0.05);手术治疗组中,腹部超声征象的阳性率明显高于腹部X线检查(P<0.05)。结论腹部超声在NEC病情严重程度的评估较腹部X线有显著优势。Objective To explore the value of abdominal ultrasonography in evaluating the condition of neonatal necrotizing enterocolitis.Methods A retrospective analysis of NEC cases in the Department of Neonatology,Affiliated Hospital of Guangdong Medical University from August 2016 to July 2019,the severity of NEC was assessed according to the revised Bell-NEC grading diagnosis and divided into mild NEC group and severe NEC group.The medical treatment group and the surgical treatment group were included;the clinical data,abdominal ultrasound signs and abdominal X-ray differences in each group were compared.Results A total of 82 patients were enrolled,including 50 in the mild NEC group and 32 in the severe NEC group.The positive rate of abdominal ultrasound signs(intestinal wall gas,intestinal wall thickening and intestinal dilatation)in the mild NEC group and the severe NEC group were significantly higher than abdominal X-ray detection(P<0.05).There were 66 cases in the medical treatment group and 16 cases in the surgical treatment group.In the surgical treatment group,the positive rate of abdominal ultrasound signs(intestinal wall gas,intestinal wall thickening)was significantly higher.In the abdominal X-ray,(P<0.05);in the surgical treatment group,the positive rate of abdominal ultrasound signs was significantly higher than that in abdominal X-ray examination(P<0.05).Conclusion Abdominal ultrasonography has a significant advantage over abdominal X-ray in assessing the severity of neonatal necrotizing enterocolitis.

关 键 词：新生儿坏死性小肠结肠炎 腹部超声 病情评估 

分 类 号：R722.1[医药卫生—儿科] R445.1[医药卫生—临床医学]