CAJ | 학술논문

目的：探讨X线诊断方法在新生儿先天性消化道畸形临床诊断中的作用。方法选取我院2010年1月至2014年1月收治入院的32例新生儿先天性消化道畸形采用X线钡餐造影检查的资料进行回顾性分析。结果32例患儿经过X线的初步诊断过后,先天性的幽门肥厚狭窄12例，先天性巨结肠6例，食管闭锁6例，十二指肠闭锁4例，十二指肠狭窄2例，十二指肠旋转不良2例，X线平片对其均可显示异常。结论小儿先天性消化道畸形征象并不十分多见，但要结合临床特点紧密结合临床表现加以分析，不能急于进行钡餐透视和钡剂造影。如先天性食管闭锁或先天性十二指肠及小肠闭锁等病症，都是禁忌钡餐透视和钡剂造影的，只能拍摄单纯性X线平片。所以要具体问题具体分析，用最好的办法检查，从而达到最佳效果。但X线检查仍是诊断新生儿先天性消化道畸形的最快、最简单、最准确的手段。
목적：탐토X선진단방법재신생인선천성소화도기형림상진단중적작용。방법선취아원2010년1월지2014년1월수치입원적32례신생인선천성소화도기형채용X선패찬조영검사적자료진행회고성분석。결과32례환인경과X선적초보진단과후,선천성적유문비후협착12례，선천성거결장6례，식관폐쇄6례，십이지장폐쇄4례，십이지장협착2례，십이지장선전불량2례，X선평편대기균가현시이상。결론소인선천성소화도기형정상병불십분다견，단요결합림상특점긴밀결합림상표현가이분석，불능급우진행패찬투시화패제조영。여선천성식관폐쇄혹선천성십이지장급소장폐쇄등병증，도시금기패찬투시화패제조영적，지능박섭단순성X선평편。소이요구체문제구체분석，용최호적판법검사，종이체도최가효과。단X선검사잉시진단신생인선천성소화도기형적최쾌、최간단、최준학적수단。
Objective?To?study?the?X-ray?diagnostic?method?in?clinical?diagnosis?of?newborn?congenital?digestive?tract?malformation?in?the?role.?Methods?Selected?in?our?hospital?in?2010?January-2014?year?in?January?admitted?32?cases?of?neonatal?congenital?digestive?tract?malformation?by?X?ray?barium?meal?examination?were?retrospectively?analyzed.?Results?After?the?preliminary?diagnosis?through?the?X?line?of?the?32?cases,?congenital?hypertrophic?pyloric?stenosis?in?12?cases,?6?cases?of?Hirschsprung's?disease,?6?cases?of?esophageal?atresia,?4?cases,?duodenal?atresia,?duodenal?stenosis?in?2?cases,?duodenal?turn?bad?in?2?cases,?X-ray?abnormal?display?of?both.?Conclusion?Children?with?congenital?digestive?tract?malformation?signs?don't?see?very?much,?but?combined?with?the?clinical?features?combined?with?the?clinical?manifestations?were?analyzed,?not?eager?to?barium?meal?and?barium.?Such?as:?congenital?esophageal atresia or congenital intestinal atresia of duodenum and other diseases, are taboo barium meal and barium, can only take simple X-ray plain iflm. So make a concrete analysis of concrete problems, with the best way to check, so as to achieve the best effect. But still the X-ray examination in diagnosis of newborn?congenital?digestive?tract?malformation?of?the?fastest,?the?most?simple,?the?most?accurate?means.