CAJ | 학술논문

目的：探讨螺旋 CT 与消化道造影在儿童肠旋转不良中的诊断效果。方法选取2012年1月至2014年1月收治的肠旋转不良患儿30例，其中15例接受螺旋 CT 检查，15例给予消化道造影，比较两组患儿的临床诊断效果，并开展分析与讨论。结果①消化道造影检查结果：所有患儿均存在小肠走行与位置异常的表现，空肠转向右中下腹走行，而空肠部与十二指肠部具有外压性狭窄表现，应用硫酸钡后缓慢通过时，十二指肠的水平部逐渐消失。②螺旋 CT检查结果：患儿的 CT 平扫表现为胰头下方肠系膜根部类团块影，呈“漩涡征”表现，增强扫描表现更甚，呈“换位状”表现，均伴有肠扭转。结论螺旋 CT 与消化道造影均为儿童场旋转不良诊断的有效方式，螺旋 CT 检查技术适用于年龄较大的患儿，而消化道造影技术则更适用于诊断婴儿患者梗阻性病变情况，两项技术具有相对性优势，能充分满足临床病情鉴别及诊断的需求，其检查结果将成为支撑日后治疗方案制定及实施的重要依据。
목적：탐토라선 CT 여소화도조영재인동장선전불량중적진단효과。방법선취2012년1월지2014년1월수치적장선전불량환인30례，기중15례접수라선 CT 검사，15례급여소화도조영，비교량조환인적림상진단효과，병개전분석여토론。결과①소화도조영검사결과：소유환인균존재소장주행여위치이상적표현，공장전향우중하복주행，이공장부여십이지장부구유외압성협착표현，응용류산패후완만통과시，십이지장적수평부축점소실。②라선 CT검사결과：환인적 CT 평소표현위이두하방장계막근부류단괴영，정“선와정”표현，증강소묘표현경심，정“환위상”표현，균반유장뉴전。결론라선 CT 여소화도조영균위인동장선전불량진단적유효방식，라선 CT 검사기술괄용우년령교대적환인，이소화도조영기술칙경괄용우진단영인환자경조성병변정황，량항기술구유상대성우세，능충분만족림상병정감별급진단적수구，기검사결과장성위지탱일후치료방안제정급실시적중요의거。
Objectine To explore the comparative significance of spiral CT scanning and gastrointestinal radiophotography in diagnosis of intestinal malrotation in pediatric patients. Methods A total of 30 pediatric patients with intestinal malrotation admitted in this hospital during January 2012 to January 2014 were allocated in this study,among them,15 patients underwent spiral CT scanning and 15 cases were examined with digestive tract radiophotography. The significance of diagnosis by these 2 methods had been compared between these two groups,and analysis and discussion had been carried out. Results ①The findings of digestive tract in all children exist abnormal direction and position in small intes-tine,jejunum had turned to right lower abdomen,and the presence of narrow of jejunum and duodenum by external press,the horizontal part of duodenum gradually disappeared when slow pass of barium sulfate. ②The results of spiral CT scanning:computed tomography( CT)scanning showed the presence of mass - like image at mesenteric root under the mass shadow of pancreatic head,showed as "whirlpool" performance,it was significant in enhanced scanning as performance of transposition,all accompanied by volvulus. Conclusion Spiral CT scanning and digestive tract radiophotogrphy are effective in diagnosis of children with intestinal malrotation. Spiral CT technology is suitable for older children,and gastroin-testinal imaging technology is more suitable for the diagnosis of patients with obstructive lesions baby. Two technologies have relative advantages, can fully meet the needs of clinical disease identification and diagnosis ofthe results will be supported in the further development and implementa-tion of treatment.