新生儿先天性消化道畸形X线诊断

X-ray Diagnosis of Newborn Congenital Digestive Tract Malformation

目的 提高和普及新生儿先天性消化道畸形X线诊断水平。方法 126例新生儿消化道畸形,男84例,女 42例,年龄为2h～30d,由经鼻胃管从食道或肛门注入用生理盐水稀释的欧乃派克进行消化道造影检查,在透视 下点片。结果 126例中食管闭锁和食管气管瘘38例,先天性胃幽门肥厚狭窄35例,十二指肠闭锁或狭窄11例, 小肠闭锁或狭窄9例,先天性巨结肠15例,先天性直肠或肛门闭锁12例。结论 消化道造影是诊断新生儿先天 性消化道畸形最快速、明确、直观的方法。

Objective To improve X-ray in diagnosis of newborn congenital digestive tract malformation.Methods One hundred twenty six newborn patients were examined(82 males and 44females;age range 2 hours to 30 days).The conventional radiological procedures were used for diagnosis of digestive tract examination,which included fluoroscopy,radiography and Omnipaque was used as contrast medium.Results Among 126 cases of newborn congenital digestive tract malformation,38 cases were diagnosed as esophagostenosis us close,41 were stomach close,35 were intestinal close,12 were anus and rectum close.Conclusion Conventional radiology is a fast clear direct method in diagnosis of newborn congenital digestive tract malformation.