婴儿幽门狭窄的B超动态诊断分析

B-ultrasonography Imaging With Stomach-rube Liguids Infusion Applied to Dynamic Diagnosis of Pyloric stenosis in Infant

目的探讨先天性幽门狭窄病例在胃管内注入液体同时应用B超动态影像检查的意义。方法分析1988年～2001年对27例小儿先天性幽门狭窄,经胃管注入液体时在B超下动态观察的诊断治疗及临床特点。结果14例症状不典型、右上腹未触及明显包块的幽门狭窄患儿应用此方法作出了明确诊断。影像表现胃内不规律的动态活动及幽门肌与十二指肠组织比邻关系。结论本方法简便易行,可做为本病的一种诊疗手段,对指导手术预防并发症有一定的临床意义。

objective To evaluate the value of B-ultrasonography imaging with stomach-rube liguids infusion in diagnosis of infants with congenital pyloricstenosis.Methods Dignosis,treatment and clinical feature for27cases of congenital pyloricstenosis were dynamic observed using B-ultrasongraphy imaging with stomach-tube liguids infusion.Results Of 27infant s with congenital pyloricstenosis,14cases were defilite diagnosed by the method of B -ultrasongraphy imaging after stomach-tube liguids infusion.The imaging showed an irregular movement of stomach and neighbouring relation of pyloric sphincter and duodenal tissue.Conclusions This method is simply,safe and easiness to do.Simultaneously,there is some climical value in the prevention of complication in the postopertion.