小儿先天性肠旋转不良的消化道造影与彩色多普勒超声77例回顾性分析.docVIP

小儿先天性肠旋转不良的消化道造影与彩色多普勒超声77例回顾性分析 　　doi：10.3969/j.issn.1007-614x.2014.2.55 　　摘 要 目的：探讨消化道造影与彩色多普勒超声对小儿先天性肠旋转不良的诊断价值。方法：回顾性分析经手术诊断证实的小儿先天性肠旋转不良77例患儿超声及消化道造影结果，分析二者的临床诊断价值。结果：术中证实肠旋转不良77例患儿，46例肠旋转不良伴肠扭转，超声确诊36例，误诊3例，未做7例。消化道造影56例，诊断为上消化道梗阻26例，单纯肠旋转不良19例，肠旋转不良并肠扭转10例。钡剂灌肠17例，单纯性肠旋转不良。结论：彩色多普勒超声对肠旋转不良患儿临床筛查及诊断价值较高，尤其是伴有肠扭转的患儿。消化道造影能提示上消化道梗阻，为手术提供依据，对单纯型肠旋转不良确诊率较高。 　　关键词 消化道造影 彩色多普勒超声 先天性肠旋转不良 　　Retrospective analysis of 77 cases of gastrointestinal angiography and color Doppler ultrasound in children with congenital intestinal malrotation 　　Wang Junling，Cui Yajie，Ma Lin，HuYongjun，Lu Limin 　　B ultrasonic room，childrens Hospital of Zhengzhou city Henan Province，450002 　　Abstract Objective：To explore the value of gastrointestinal contrast and color Doppler ultrasonography in the diagnosis of congenital intestinal malrotation.Methods：Retrospective analysis ultrasound and gastrointestinal radiography results of 77 cases confirmed by surgery in the diagnosis of pediatric congenital intestinal rotation，analysis of the clinical diagnostic value.Results：77 cases of children with intestinal malrotation intraoperatively confirmed，46 cases of malrotation of intestine with intestinal volvulus，ultrasound diagnosed 36 cases，3 cases of misdiagnosis，7 cases did not do.In 56 cases of digestive tract radiography，diagnosis of upper gastrointestinal obstruction in 26 cases，intestinal malrotation in 19 cases，and 10 cases of volvulus in intestinal malrotation.Barium enema in 17 cases，simple intestinal malrotation.Conclusion：The color Doppler ultrasound has high evalue in clinical screening and diagnosis of intestinal malrotation，especially with volvulus in children.Gastrointestinal imaging can prompt upper gastrointestinal obstruction，provide the basis for the operation，higher diagnosis rate in simple intestinal malrotation. 　　Key words Gastrointestinal contrast；Color Doppler ultrasound；Congenital intestinal malrotation 　　先天性肠旋转不良是临床常见的小儿消化道畸形，由于肠旋转过程异常复杂，造成多种病理表现及并发症，部分伴有肠扭转的病例进展迅速，