先天性巨结肠27例分析

Clinical study on 27 congenital megacolon

目的 探讨先天性巨结肠的临床及钡灌肠表现。方法 回顾我院小儿外科近 3年来经手术治疗的先天性巨结肠 2 7例 ,并对其临床及钡灌肠表现进行分析。结果 具有典型X线表现的 2 0例 ,不典型表现的 7例 ,本组分型 :超短型 2例 ,短段型 5例 ,中段型 15例 ,长段型 5例。结论 钡灌肠仍是先天性巨结肠的主要诊断方法 ,对不典型表现的患儿要密切结合临床 ,并注意 2 4～ 4

AIM In order to explore the clinical anb barium enema manifestation of congenital megacolon.METHODS It were analyzed retrospectively that the clinical and barium enema manifestation of 27 cases of congenital megacolon admitted to our hospital within 3 years. RESULTS Typical manifestation 20 cases, nontypical manifestation 5 cases,the type in this group:supershort type 2 cases, short type 5 cases, middle type 15 cases, long type 5 cases. CONCLUSION Barium enema is still the main diagnostic method of congenital megacolon,the clinical manifestations must be considered in the diagnosis of nontypical cases, and follow up in 24～48 hours.