腹部X线联合腹部超声检查在坏死性小肠结肠炎中的应用价值  

Application value of abdominal X-ray combined with abdominal ultrasound examination in necrotizing enterocolitis

作　　者：安晓玲 郝荣 席如如 陈晓媛 雷晓慧 李晓芸 AN Xiaoling;HAO Rong;XI Ruru;CHEN Xiaoyuan;LEI Xiaohui;LI Xiaoyun(Xi'an New Chang'an Maternity Hospital,Xi'an 710000;Northwest Women's and Children's Hospital,Xi'an 710061,China)

机构地区：[1]西安新长安妇产医院,陕西西安710000 [2]西北妇女儿童医院,陕西西安710061

出　　处：《临床医学研究与实践》2023年第29期89-92,共4页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.S2022-YF-YBSF-0493)。

摘　　要：目的探讨腹部X线联合腹部超声(AUS)检查在坏死性小肠结肠炎(NEC)中的应用价值。方法选取2018年5月至2020年12月收治的133例NEC患儿,回顾性分析其腹部X线及AUS检查资料并观察特征表现;分析腹部X线和AUS单独及联合检查对NEC的检出结果。结果NEC患儿的腹部X线主要特征是肠间隙增厚、肠壁积气、门静脉积气、腹腔积气等;AUS检查的主要特征是肠壁增厚、肠壁积气、门静脉积气、腹腔积气等。133例患儿中,保守治疗105例(78.95%),手术治疗28例(21.05%)。单独腹部X线检查对NEC的检出率为61.65%(82/133),肠穿孔的检出率为7.52%(10/133);单独AUS检查对NEC的检出率为71.43%(95/133),肠穿孔的检出率为12.78%(17/133);腹部X线联合AUS检查对NEC的检出率为88.72%(118/133),肠穿孔的检出率为18.80%(25/133)。腹部X线联合AUS检查对NEC的检出率高于单独腹部X线及AUS检查(P<0.05);腹部X线联合AUS检查对肠穿孔的检出率高于单独腹部X线检查(P<0.05)。腹部X线联合AUS检查对手术治疗NEC的检出率高于单独腹部X线及AUS检查(P<0.05)。结论腹部X线联合AUS检查可提高NEC及肠穿孔的检出率,能在病情发展监测中较早地识别出需要手术的患儿,从而改善其预后,该联合检查方法值得在临床中应用。Objective To explore the application value of abdominal X-ray combined with abdominal ultrasound(AUS)examination in necrotizing enterocolitis(NEC).Methods A total of 133 children with NEC admitted from May 2018 to December 2020 were selected.The data of abdominal X-ray and AUS examination were retrospectively analyzed,and their characteristics were observed;the detection results of NEC by abdominal X-ray and AUS alone and in combination were analyzed.Results The main features of abdominal X-ray in children with NEC were intestinal space thickening,intestinal wall pneumatosis,portal vein pneumatosis,abdominal pneumatosis,etc;the main features of AUS examination were intestinal wall thickening,intestinal wall pneumatosis,portal vein pneumatosis,abdominal pneumatosis and so on.Among the 133 children,105 cases(78.95%)were given conservative therapy and 28 cases(21.05%)were given surgical therapy.The detection rate of NEC by abdominal X-ray alone was 61.65%(82/133),and the detection rate of intestinal perforation was 7.52%(10/133);the detection rate of NEC by AUS alone was 71.43%(95/133),and the detection rate of intestinal perforation was 12.78%(17/133);the detection rate of NEC by abdominal X-ray combined with AUS examination was 88.72%(118/133),and the detection rate of intestinal perforation was 18.80%(25/133).The detection rate of NEC by abdominal X-ray combined with AUS examination was higher than that by abdominal X-ray and AUS alone(P<0.05);the detection rate of intestinal perforation by abdominal X-ray combined with AUS examination was higher than that by abdominal X-ray alone(P<0.05).The detection rate of abdominal X-ray combined with AUS examination in surgical treatment of NEC was higher than that of abdominal X-ray and AUS alone(P<0.05).Conclusion Abdominal X-ray combined with AUS examination can improve the detection rate of NEC and intestinal perforation,and early identify the children who need surgery in the monitoring of disease development,so as to improve their prognosis.This combined examination me

关 键 词：腹部X线 腹部超声 坏死性小肠结肠炎 

分 类 号：R722.1[医药卫生—儿科]