摘要
[目的]探讨上消化道造影(upper gastrointestinal imaging,UGI)常规检查十二指肠空肠曲(duodenojejunal flexure,DJF)位置的意义。[方法]回顾性分析350例行UGI患儿的影像学资料,56例临床怀疑肠旋转不良的患儿,其余患儿根据是否检查DJF位置分为2组:A组198例检查了DJF位置,B组96例未检查DJF位置。记录患儿的年龄、性别、UGI的检查时间和DJF位置。[结果]56例临床怀疑肠旋转不良的患儿有24例有DJF位置的异常(42.8%),A组198例患儿仅有1例发现DJF位置异常(0.5%)。B组患儿的年龄和性别与A组比较差异无统计学意义(P>0.05)。2组患儿UGI的检查时间比较差异有统计学意义(P<0.01)。A组的检查时间显著大于B组。[结论]本研究发现对临床没有怀疑肠旋转不良的患儿,UGI发现DJF位置异常的概率非常小,故儿童UGI可不常规检查DJF位置以降低辐射剂量。
[Objective] To investigate the effect of upper gastrointestinal imaging（UGI） in examination of the orientation of duodenojejunal flexure （DJF） without clinical suspicion for malrotation.[Methods] In retrospective materials,56 patients with clinical suspicion for malrotation were identified,and remaining children were grouped based on whether DJF was examined （Group A：n =198） or not （Group B.n=96）.Age,gender,screening time and the DJF position of patients are documented.[Results]Abnormality of DJF was identified in 24 patients （42.8％）,but only 1 patient in Group A （0.5％）.Meanwhile,there without gender and age difference （P＞0.05）.Significant difference between Groups A and B in screening time was found （P＜ 0.01）.[Conclusion]The routine examination for DJF position is not necessary for examination of the orientation of duodenojejunal flexure （DJF） without clinical suspicion for malrotation.
出处
《中国中西医结合消化杂志》
CAS
2014年第11期666-667,671,共3页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
基金
深圳市科技研发资金项目(No:JCYJ20130401114111467)
