新生儿_____新生儿；先天性巨结肠；钡灌肠；X线诊断

新生儿先天性巨结肠的X线诊断

http://www.100md.com 《中华现代影像学杂志》 2000年第3期

新生儿,,新生儿；先天性巨结肠；钡灌肠；X线诊断,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的分析新生儿先天性巨结肠的X线表现，探讨新生儿先天性巨结肠的X线诊断和鉴别诊断。方法回顾分析21例新生儿先天性巨结肠的临床表现和腹部平片、钡灌肠的X线表现。结果 21例腹部平片均表现为肠腔充气扩张，其中有16例低位结肠梗阻；钡灌肠检查18例见典型X线征象：痉挛段，移行段，扩张段；3例不典型X线征象：直肠下段局限性切迹，24h随访均有钡剂潴留。结论钡灌肠检查是诊断新生儿先天性巨结肠的直观的方法，对病变的定位及程度有重要的实用价值。

    【关键词】新生儿；先天性巨结肠；钡灌肠；X线诊断

    X-ray diagnosis of Hirschsprungs disease in the newborn

    QUAN Gaorong，HUANG Shaoying.

    Department of Radiology,The First Peoples Hospital,Zhaoqing 526021，China

    【Abstract】 Objective To analyze the Xray findings of Hirschsprungs disease in the newborn,and explore the diagnosis and differential diagnosis of Hirschsprungs disease in newborn by Xray.Methods The clinical manifestation, the findings of abdominal plain Xray film (KUB) and barium enema Xray in 21 newborns with Hirschsprungs disease were analyzed retrospectively.Results Of the 21 cases,the KUB findings showed bowel dilatation with air in 21 cases and lower intestinal obstruction in 16 cases;the barium enema Xray showed typical Xray features (in spasm segment,and dilatation segment) in 18 cases and atypical Xray features in 3 cases as limited incisures in inferior rectum,and found barium retention in the followingup of 24 hours.Conclusion The barium enema radiography is a direct method for the diagnosis of Hirschsprungs disease in the newborn,and it shows very important value to confirm the position and degree of lesions. ......

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