摘要
目的探讨腹部B超检查在新生儿十二指肠梗阻诊断中的应用价值。方法回顾性分析95例新生儿十二指肠梗阻患儿的腹立位平片、消化道钡餐及腹部B超检查、病因及术后诊断情况。结果腹立位平片检查75例,确诊为十二指肠梗阻46例,诊断率为61.33%;经消化道钡餐检查确诊14例,其中断肠旋转不良8例(8/11例),诊断率为72.73%;腹部B超检查79例,诊断为十二指肠梗阻78例(98.73%),肠旋转不良诊断率为95.65%(44/46)。结论腹部B超对十二指肠梗阻的诊断与病因鉴别有重要意义,可作为十二指肠梗阻的首选检查方法。
Objective To evaluate the value of abdominal ultrasound scan for the diagnosis of duodenal obstruction in neonates. Methods X-ray findings, abdominal ultrasound scan and etiologic diagnoses of the operation in 95 neonates with duodenal obstrction were reviewed retrospectively. Abdomianl plain films of 75 eases were obtained. UGI series and abdominal uhrsound scan were performed in 14 cases and 79 cases respectively. Results Diagnosis of duodenal obstruction were demonstrated on abdominal plain films in 46 cases. The diagnostic rate was 61.33%. Eight cases with intestinal malrotation were confirmed by UGI series, with the diagnostic rate of 72.73%（8 / 11 cases）. Duodenal obstruction were found by abdominal uhrsound scan in 78 cases （98.73%）,the diagnostic rate of intestinal malrotation were 95.65% （44 / 64 cases ）. Conclusions Abdominal ultrasound scan plays an important role in the diagnosis and etiologic differentiahion of duodenal obstruction. It can be used as the first choice of examinal methods for the neonates with duodenal obstruction.
出处
《临床小儿外科杂志》
CAS
2008年第5期34-36,共3页
Journal of Clinical Pediatric Surgery
关键词
十二指肠梗阻
新生儿
腹部B超
Duodenal obstruction
Neonate
Abdominal ultrasound scan
