CAJ | 학술논문

目的探讨高频超声在新生儿十二指肠梗阻性疾病诊断中的价值.方法回顾性分析113例新生儿十二指肠梗阻性疾病的超声检查结果、临床资料及术后病理结果.结果 113例经手术证实为十二指肠梗阻的病例中,高频超声诊断正确106例,诊断率为 93.81%(106/113).其中肠旋转不良、十二指肠膜式狭窄、十二指肠闭锁、环状胰腺的超声诊断率分别为 96.83%(61/63)、93.55%(29/31)、80.00%(4/5)、85.71%(12/14).同时,92例超声提示梗阻部位与术中所见一致,超声对梗阻部位的诊断率为 81.42%(92/113).结论高频超声在新生儿十二指肠梗阻病因诊断及梗阻部位判断中有重要价值,可作为新生儿十二指肠梗阻性疾病的首选检查方法.
목적 탐토고빈초성재신생인십이지장경조성질병진단중적개치.방법 회고성분석113례신생인십이지장경조성질병적초성검사결과、림상자료급술후병리결과.결과 113례경수술증실위십이지장경조적병례중,고빈초성진단정학106례,진단솔위 93.81%(106/113).기중장선전불량、십이지장막식협착、십이지장폐쇄、배상이선적초성진단솔분별위 96.83%(61/63)、93.55%(29/31)、80.00%(4/5)、85.71%(12/14).동시,92례초성제시경조부위여술중소견일치,초성대경조부위적진단솔위 81.42%(92/113).결론 고빈초성재신생인십이지장경조병인진단급경조부위판단중유중요개치,가작위신생인십이지장경조성질병적수선검사방법.
Objective To evaluate the clinical significance of high frequency ultrasound in the diagnosis of duodenal obstruction in neonates.Methods Ultrasonography,clinical data and etiological diagnoses of the operation in 113 neonates with duodenal obstruction were reviewed retrospectively.The digestive tract,including stomach,duodenum,jejunoileum and colon,were examined in all patients with 8-12 MHz linear transducer before operation.Results In the 113 neonates with duodenal obstruction,63 cases were diagnosed intestinal malrotation,31 cases duodenal stenosis,14 cases annular pancreas,and 5 cases duodenal atresia.One hundred and six cases were diagnosed as duodenal obstruction by ultrasound,of which intestinal malrotation in 61 cases,duodenal stenosis in 29 cases,duodenal atresia in 4 cases,and annular pancreas in 12 cases.The diagnostic rate was 93.81% (106/113 cases),96.83% (61/63 cases),93.55% (29/31 cases),80.00% (4/5cases) and 85.71% (12/14 cases),respectively.The location of obstruction diagnosed by ultrasound was coincident with the operation in 92 cases,with a diagnostic rate of 81.42%(92/113).Conclusions High frequency ultrasound plays an important role in diagnosing the causes and location of duodenal obstruction.It can be used as the first choice of examinal methods for the neonates with duodenal obstruction.