婴幼儿中肠扭转X线诊断分析56例

X-ray diagnosis analysis of 56 cases of infantile midgut torsion

目的:分析婴幼儿中肠扭转X线诊断。方法:收治婴幼儿中肠扭转患者56例,采取腹部立卧位X线平片、上消化道造影及灌肠造影检查,分析其影像诊断结果。结果:肠扭转中局限性右中上腹与中上腹管状、短跨度充气小肠肠管伴肠壁增厚9例,广泛充气扩张壁厚肠段11例,双泡征9例,充气肠管少且分布不均27例,十二指肠下段与空肠上段呈螺旋状向下行走或近端鸟嘴改变23例,回盲部位于右上腹或左中上腹部15例。结论:对婴幼儿中肠扭转采取腹部立卧位X线平片检查、上消化道造影及钡灌肠检查,操作简便,具有较高的准确性。

Objective:To analyse X-ray diagnosis in infantile midgut torsion.Methods:56 patients with infant midgut volvuluswere selected,taking abdominal X-ray plain film,upper digestive tract radiography and enema examination,analysis of its imagingdiagnosis results.Results:Volvulus right with limited epigastric abdominal tube,short span inflatable intestine with intestinal wallthickening in 9 cases,extensive expansion of inflatable bowel wall thickness in 11 cases,double bubble sign in 9 cases,inflatableintestine small and uneven distribution of 27 cases,duodenal segment and jejunum spiral downwards walk or proximal beak in 23cases,the ileocecal valve is located in the right upper abdomen or left upper abdomen in 15 cases.Conclusion:The children takeolulus abdominal supine X-ray examination, upper digestive tract and barium enema examination,it is easy to operate,with highaccuracy.