摘要
目的对新生儿肠旋转不良的影像学表现进行探究并进行手术后回顾分析。方法选取2009年1月1日-2014年5月30日在我院确诊为肠旋转不良的新生儿15例作为研究对象,进行消化道造影及钡灌肠,并对剖腹探查手术进行回顾分析。结果上消化道造影对新生儿肠旋转不良的诊断价值较高,可准确诊断出,诊断结果有十二指肠水平段不完全性梗阻,十二指肠降段、水平段明显扩张,十二指肠水平段呈盲端,术中均见小肠沿肠系膜顺时针或逆时针不同程度旋转。结论对小儿肠旋转不良采用消化道造影、钡剂或碘剂灌肠进行诊断有良好的价值,有利于对小儿进行及时、有效的治疗,防止并发症的发生,值得在临床中推广应用。
Objective To explore the imaging findings of intestinal rotation in newborn infants and to analyze the imaging findings after surgery. Methods Select January 2009 to 2014 May 30,in our hospital diagnosed as intestinal malrotation in neonatal 15 cases as the research object,were gastrointestinal angiography and barium enema and to laparotomy were retrospectively. Results Upper gastrointestinal radiography of neonatal intestinal rotation adverse is of high value in the diagnosis,accurate diagnosis,the diagnosis results horizontal part of duodenum incomplete obstruction and descending part of duodenum,level markedly dilated segment and horizontal segment of duodenum in a blind end and operation were seen in small intestine along the mesenteric clockwise or counterclockwise to varying degrees of rotation. Conclusion The children with intestinal rotation bad by gastrointestinal barium,barium or iodine agent enema have good value to diagnose,is conducive to the timely and effective treatment of children,prevent complications,it is worth in clinical application.
出处
《辽宁医学杂志》
2016年第2期41-43,共3页
Medical Journal of Liaoning
关键词
新生儿
肠旋转不良
影像学表现
手术后回顾分析
Newborn
Intestinal rotation
Imaging findings
Postoperative retrospective analysis