摘要
目的探讨腹部X线检查在新生儿坏死性小肠结肠炎(NEC)分型及预后中的价值。方法收集58例确诊新生儿NEC的患儿,根据临床转归将患儿分为轻症组(n=31)和重症组(n=27)。比较2组患儿腹部X线影像表现。结果2组间胎龄、患病日龄、性别、胎数、生产方式的差异均无统计学意义(P均>0.05);重症组出生体质量低于轻症组(P<0.05),极低体质量儿例数多于轻症组(P<0.05);患儿门静脉积气和固定肠袢发生率均高于轻症组(P均<0.05);2组间肠壁积气形态差异有统计学意义(P<0.05)。结论腹部X线检查可有效辅助诊断NEC、分型;尤其对肠坏死和肠穿孔的判定及治疗具有指导价值。
Objective To explore the value of abdominal X-ray examination in the classification and prognosis prediction of neonatal necrotizing enterocolitis(NEC).Methods Totally 58 cases of neonatal necrotizing enterocolitis were collected.According to the clinical outcome,the patients were divided into mild group(n=31)and aggravation group(n=27).The abdominal X-ray imaging findings of 2 groups was compared.Results There was no significant difference in gestational age,age of illness,sex,embryo number and delivery mode between 2 groups(all P>0.05).The birth weight in aggravation group was lower than that in mild group,especially in very low birth weight between 2 groups(P<0.05).The number of very low weight in aggravation group was more than that in mild group(P<0.05).The incidences of portal venous gas and fixed intestinal loop in aggravation group were significantly higher than those in mild group(both P<0.05).And there was significant difference in the morphology of pneumatosis intestinalis between 2 groups(P<0.05).Conclusion Abdominal X-ray examination can effectively assist the diagnosis and typing of NEC,which has guiding value in diagnosis and treatment of intestinal necrosis and intestinal perforation.
作者
高雅丽
彭松
GAO Yali;PENG Song(Department of Radiology,Chongqing Health Center for Women and Children,Chongqing400010,China)
出处
《中国医学影像技术》
CSCD
北大核心
2020年第S01期38-41,共4页
Chinese Journal of Medical Imaging Technology
