先天性结肠闭锁的影像学诊断——附4例报告

Imaging diagnosis of congenital colon atresia:report of 4 cases

目的评价先天性结肠闭锁的临床、影像学特点和诊断方法。方法报告4例经手术证实为先天性结肠闭锁的临床、影像学资料。结果4例中男女各2例,就诊年龄3～5天,闭锁部位在升结肠3例,降结肠1例;病理分型:Ⅱ型2例,Ⅲ型2例;腹部平片表现为低位肠梗阻,碘水灌肠见结肠充盈不全,闭锁远端幼稚结肠和直肠壶腹存在。结论临床症状及立位腹部平片难以作出定性诊断,术前诊断主要依靠碘水灌肠检查。

Objective To study the clinical manifestations,imaging characteristics anddiagnosis of congenital colon atresia.Methods4 cases of congenital colon atresia confirmedby operation were analyzed retrospectively.ResultsIn 4 cases, including 2 boys and 2girls,the age was 3~5 days.Atresia located in ascending colon 3 cases and descending colon 1case.In pathological examination,there were type Ⅱ 2 cases and type Ⅲ 2 cases.X-ray plainfilm of abdomen showed lower intestinal obstruction.Urografin enema showed rectal ampullaand microcolon in the distal part of atresia.ConclusionThe confirmed diagnosis ofcongenital colon atresia is based on urografin enema,though the clinical manifestations and X-ray features provide some help for diagnosis.