新生儿先天性消化道畸形的X线诊断(附27例分析)

X-ray Diagnosis of Newborn Congenital Digestive Tract Malformation (Report 27 Case)

目的:提高新生儿先天性消化道畸形X线诊断水平。材料与方法:27例新生儿先天性消化道畸形中,男17例,女10例,年龄为出生后12小时至30天,采用透视,拍片或用20～30%的泛影葡胺行消化道造影检查。结果:27例中,食管,十二指肠或小肠闭锁狭窄11例,胃幽门肥厚狭窄5例,先天性巨结肠10例,先天性直肠肛门闭锁1例。均有典型的X线表现。结论: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。

Purpose： To improve X - ray in diagnosis of newborn congenital digestive tract malformation. Materials and Methods： Our group included 27 patients （ 17 males and 10 females; age range 12 hour 30 day）, we used the conventional radiological procedures for digestive tract examination, which included fluoroscopy, radiography and contrast material examination using 20% - 30% Megulmine diatrizoate. Resuits： The most frequent anormaly was esophagus, duodenum and intestines stenosis oratresia （n = 11 ）, followed by hypertrophic pyloric stenosis （n = 5） and congenital megacolon （n = 10） and anorectal atresia （n = 1 ）. Conclusion： Conventional radiology is a fact clear direct method in di- agnosis of newborn congenital digestive tract malformation.