腹部X线平片对婴儿肠套叠的诊断价值探讨

The diagnosis value of infant indigitation on abdomen plain film

目的探讨婴儿发生肠套叠后,腹部X线平片的表现及意义。方法婴儿肠套叠231例,均有完整的空气灌肠前立卧位腹部平片,并经空气灌肠或手术复位确诊。结果腹部肠腔气影明显减少,出现大片状无肠气区域,出现率约为78.79%;肠腔内软组织肿块约占29.97%;肠梗阻约占21.21%。结论婴儿肠套叠发生后腹部肠腔气影明显减少,出现大片状无肠气区域,是婴儿肠套叠发生后的较早期表现。

Objective To explore the representation and significance on abdomen plain film after infant indigitation to avoid misdlagnosis. Methods 231 cases of infant indigitation were confirmed by air pressure enema reduction or operation, all performed abdomen film on erect and supine positions before air pressure enema reduction. Results The sign that intestine air reduces manifestly namely large area abdomen had no intestine air,counting for 78.79 %. Mass inside intestine holded 29.97 %. Bowel obstruction occupied 21.21%. Conclusions That intestine air reduces markedly and large area abdomen has no intestine air is the most familiar sign after infant indigination. It happens on earlier period. So it must be paid more attention to the misdiagnosis or missed diagnosis rate is decreased.