摘要
目的观察新生儿坏死性小肠结肠炎(NEC)的腹部X线与MRI征象,并探讨新生儿的预后转归情况。方法选取2011年8月至2015年8月收治的144例NEC患儿作为研究对象,所有患儿均行腹部X线与MRI检查,观察影像学特征,并对比两种检查方法的诊断价值。结果 NEC患儿的X线与MRI影像主要以肠壁增厚、PI及PVG为主,MRI对PI的阳性检出率为61.11%,明显高于X线的41.67%(P<0.05)。144例NEC患儿中,66例患儿经内科保守治疗全部治愈,78例在保守治疗1~2 d内治疗无效,改行手术治疗:治愈72例(92.31%),患儿预后良好;其余6例患儿在治疗中因全肠坏死或术后严重腹膜炎死亡。结论与X线相比,腹部MRI可提供更准确的影像学信息,为临床诊断及治疗NEC提供参考依据,从而改善NEC的预后。
Objective To observe the abdominal X-ray and MR/signs of neonatal necrotizing enterocolitis （NEC）, and to explore the neonatal prognosis. Methods 144 cases of NEC children admitted to our hospital from August 2011 to August 2015 were selected as the research objects, and all children were given abdominal X-ray and MRI examination. The imaging features were observed and the diagnostic value of two kinds of examination methods were compared. Results The X-ray and MRI images of NEC children were mainly intestinal wall thickening, PI and PVG. The PI positive detection rate of MR/was 61.11%, significantly higher than 41.67 % of X-ray （P 〈0.05）. Among 144 cases of NEC children, 66 cases were cured by medical conservative treatment, and 78 cases had ineffective conservative treatment within 1 to 2 days and converted to surgery. 72 cases （92.31%） were cured with good prognosis, and the other 6 cases died of total intestinal necrosis during treatment or severe peritonitis after treatment. Conclusions Compared with X-ray, the abdominal MRI can provide more accurate imaging information, and provide reference for clinical diagnosis and treatment of NEC, so as to improve the prognosis of NEC.
作者
汤文善
钟柳城
TANG Wenshan1, ZHONG Liucheng2(1Department of Radiology, Huizhou Maternal and Child Healthcare and Family Planning Center, Huizhou 516000, China; 2Department of Radiology, Huizhou First People＇s Hospital, Huizhou 516000, Chin)
出处
《临床医学工程》
2018年第3期259-260,共2页
Clinical Medicine & Engineering
基金
惠州市科技计划(医疗卫生)立项项目(项目编号:2016Y049)
