论文部分内容阅读
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 investigate the imaging manifestations of neonatal malrotated intestinal and retrospective analysis after surgery. Methods From January 1, 2009 to May 30, 2014, 15 newborn infants diagnosed as malrotating bowel in our hospital were selected as research objects for gastrointestinal angiography and barium enema. Laparoscopic exploration was performed retrospectively. The results of upper gastrointestinal angiography of neonatal malrotation of the diagnosis of higher value can be accurately diagnosed with diagnostic results of incomplete duodenal level obstruction, descending duodenum, the level of significant expansion, the twelve The level of the segment of the bowel was blind end, see the small intestine surgery along the mesentery clockwise or counterclockwise rotation in varying degrees. Conclusions The diagnosis of pediatric intestine malrotation with gastrointestinal angiography, barium or iodine enema has good value, is conducive to pediatric timely and effective treatment to prevent the occurrence of complications, it is worth to promote the clinical application.