放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
9期
1084-1087
,共4页
帅永忠%贺明礼%杨星桥%李淑琴
帥永忠%賀明禮%楊星橋%李淑琴
수영충%하명례%양성교%리숙금
新生儿%小肠结肠炎%早期诊断%放射摄影术
新生兒%小腸結腸炎%早期診斷%放射攝影術
신생인%소장결장염%조기진단%방사섭영술
Neonate%Enterocolitis%Early diagnosis%Radiography
_目的：总结分析新生儿坏死性小肠结肠炎（NEC）的 X 线表现，提高对新生儿 NEC 早期病变的认识。方法：搜集经 X 线和/或临床手术病理证实的 NEC 病例52例，回顾性分析其临床及 X 线表现，对其孕周、出生体重与 NEC 发病关系进行分析；同时对52例病例的 X 线表现进行随访跟踪。结果：本组52例中首次摄片表现为典型 NEC 28例，表现为早期 NEC 13例，疑似早期 NEC 11例。13例早期 NEC 二次复查痊愈7例，进展为典型 NEC 4例，演变为肠道动力性异常2例。11例疑似早期 NEC 患儿第三次复查痊愈8例，进展为动力性梗阻3例，该3例第四次复查1例痊愈，2例出现典型 NEC 表现。结论：早产、低出生体重新生儿是 NEC 高危人群。X 线早期诊断对指导临床治疗及预后评估具有重要价值。
_目的：總結分析新生兒壞死性小腸結腸炎（NEC）的 X 線錶現，提高對新生兒 NEC 早期病變的認識。方法：搜集經 X 線和/或臨床手術病理證實的 NEC 病例52例，迴顧性分析其臨床及 X 線錶現，對其孕週、齣生體重與 NEC 髮病關繫進行分析；同時對52例病例的 X 線錶現進行隨訪跟蹤。結果：本組52例中首次攝片錶現為典型 NEC 28例，錶現為早期 NEC 13例，疑似早期 NEC 11例。13例早期 NEC 二次複查痊愈7例，進展為典型 NEC 4例，縯變為腸道動力性異常2例。11例疑似早期 NEC 患兒第三次複查痊愈8例，進展為動力性梗阻3例，該3例第四次複查1例痊愈，2例齣現典型 NEC 錶現。結論：早產、低齣生體重新生兒是 NEC 高危人群。X 線早期診斷對指導臨床治療及預後評估具有重要價值。
_목적：총결분석신생인배사성소장결장염（NEC）적 X 선표현，제고대신생인 NEC 조기병변적인식。방법：수집경 X 선화/혹림상수술병리증실적 NEC 병례52례，회고성분석기림상급 X 선표현，대기잉주、출생체중여 NEC 발병관계진행분석；동시대52례병례적 X 선표현진행수방근종。결과：본조52례중수차섭편표현위전형 NEC 28례，표현위조기 NEC 13례，의사조기 NEC 11례。13례조기 NEC 이차복사전유7례，진전위전형 NEC 4례，연변위장도동력성이상2례。11례의사조기 NEC 환인제삼차복사전유8례，진전위동력성경조3례，해3례제사차복사1례전유，2례출현전형 NEC 표현。결론：조산、저출생체중신생인시 NEC 고위인군。X 선조기진단대지도림상치료급예후평고구유중요개치。
[Abstruct]_Objective:To summarize the X-ray findings of 52 patients with neonatal necrotizing enterocolitis (NEC)in the early stage and to improve the diagnostic accuracy.Methods:52 patients with necrotizing enterocolitis were collected and analyzed retrospectively.All were confirmed by follow-up X-ray and/or by post-operative pathological results.All 52 cases were followed up and correlatively analyzed between clinical and X-findings with their gestational age,birth weight and inci-dence of NEC.Results:There were 28 patients showing typical NEC X-ray manifestations at their first visit,13 cases with manifestations at early stage,and 11 with suspected early NEC.For the 13 early NEC patients,7 of them recovered in sec-ond visit without positive findings,4 patients were found in progressing to typical NEC,and 2 cases developed as enteric dy-namic changes.From the 11 cases suspected with early NEC,eight were recovered in third follow-up X-ray,three cases e-volved as dynamic enteric obstruction.One of the three cases recovered and other two developed as typical NEC at the fourth follow-up.Conclusion:Premature and lower birth weight infants are of higher risks of suffering from NEC.It is im-portant to have early X-ray exam in terms of clinical treatments and prognosis prediction in those suspected with neonatal NEC.
