CAJ | 학술논문

目的：探讨新生儿坏死性小肠结肠炎（NEC）的X线诊断价值，提高对其早期诊断能力。方法：回顾性总结了6年来医院收治确诊有完整临床资料NEC 38例病例，对其X线表现进行归纳分析；其中14例经手术病理证实。结果：NEC的X线表现为：Ⅰ期：肠动力性改变、肠淤张；肠间隙增厚≤2mm（28例）；Ⅱ期：①肠间隙增厚＞2mm（15例）；②肠壁积气（8例）；③门静脉积气（3例）；Ⅲ期：①明确腹腔渗液（9例）；②气腹（10例）。结论：X线检查对NEC的诊断及明确病变进展具有重要价值；结合临床能做到早期诊断，从而早期干预降低NEC病死率。
목적：탐토신생인배사성소장결장염（NEC）적X선진단개치，제고대기조기진단능력。방법：회고성총결료6년래의원수치학진유완정림상자료NEC 38례병례，대기X선표현진행귀납분석；기중14례경수술병리증실。결과：NEC적X선표현위：Ⅰ기：장동력성개변、장어장；장간극증후≤2mm（28례）；Ⅱ기：①장간극증후＞2mm（15례）；②장벽적기（8례）；③문정맥적기（3례）；Ⅲ기：①명학복강삼액（9례）；②기복（10례）。결론：X선검사대NEC적진단급명학병변진전구유중요개치；결합림상능주도조기진단，종이조기간예강저NEC병사솔。
Objective:To investigate the X-ray manifestations of Neonatal Necrotizing Enterocolitis (NEC) and improve the ability to diagnose it in the early stage. Methods:38 NEC cases with X-rays information of those diagnosed by our hospital in the past 6 years, were reviewed and analyzed. There were 14 cases with the surgical operation confirmed.Results:the X-ray manifestations of Neonatal Necrotizing Enterocolitis (NEC):28 cases occurred intestinal reflex or enteroparalysis;15 cases occurred intestinal reflex or enteroparalysis and intestinal obstruction; 8 cases performed pneumatosis intestinalis, 3 cases performed portal venous, 9 cases performed ascites, and 10 cases pneumoperitoneum.Conclusion:X-ray is of significant value to the diagnosis and confirmation of case development of NEC. Early diagnosis and early intervention can reduce the mortality rate of NEC.