新生儿坏死性小肠结肠炎的X线诊断分析

Diagnostic value of the X-ray in neonatal necrotizing enterocolitis

目的总结分析新生儿坏死性小肠结肠炎(NEC)的X线征象,提高对NEC的认识及诊断水平。方法回顾性分析经临床手术或/和X线确诊的31例NEC患儿的腹部X线片及临床资料。结果首次摄X线片表现为Ⅲ期NEC 4例;Ⅱ期NEC 17例,经治疗后16例恢复正常,1例进展为Ⅲ期NEC;Ⅰ期NEC 10例,经治疗后第1次复查痊愈6例,第2次复查痊愈3例,第1次复查演变为Ⅱ期1例,该例患儿于第3次复查时痊愈。结论腹部X线片对NEC的临床诊断有重要价值,但早期缺乏特征性表现,需结合临床表现及高危因素密切随访观察。

Objective To summarize and analyze the X-ray signs of neonatal necrotizing enterocolitis(NEC)and improve the understanding and diagnosis of NEC.Methods The abdominal X-ray films and clinical data of 31 children with NEC diagnosed by clinical operation or/or X-ray were retrospectively analyzed.Results There were 4 cases with stageⅢin the first film;17 cases showed stageⅡin the first film,16 cases returned to normal after treatment,1 case progressed to stageⅢNEC;10 cases of stageⅠNEC,after treatment in the first review,6 cases were cured,3 cases were cured in the second review,and 1 case was staged in the first review,and the child recovered in the third review.Conclusion Abdominal X-ray plain film is of great value in the clinical diagnosis of NEC,but it lacks characteristic manifestations in the early stage.Close follow-up observation should be made in combination with clinical manifestations and high-risk factors.