【摘要】 目的:探讨X线平片、消化道造影及CT检查对先天性肠闭锁的诊断价值。方法:回顾性分析40例经手术病理证实的先天性肠闭锁患者的影像学资料。40例均行腹部立位和正侧位摄片,其中8例同时行上消化道碘水造影,26例行碘水灌肠造影,3例行CT平扫和增强检查。结果:主要X线表现:高位小肠梗阻10例,低位小肠或结肠梗阻30例;腹腔内胎粪钙化5例,包裹性气腹2例,风兜征8例,胎儿型结肠24例,结肠宽径接近正常2例。主要CT表现:十二指肠闭锁处呈截断状3例。结论:X线平片对先天性肠闭锁的诊断及确定闭锁部位有重要价值,消化道碘水造影是确诊本病的重要依据,CT可作为补充检查手段。更多还原

【Abstract】 Objective:To investigate the value of radiography,contrast study of gastrointestinal tract and CT in the diagnosis of congenital intestinal atresia.Methods:Retrospective analysis of imaging studies was performed in 40 patients with surgery and pathology proved congenital intestinal atresia.All 40 patients had abdominal radiographs with upright anterior-posterior view,A-P and lateral decubitus views,8 patients had simultaneous upper GI tract study with iodine solution,26 patients had iodine solution enema,3 patients had CT scanning without and with contrast administration.Results:On radiograph,there were high intestinal obstruction (n=10),low intestinal obstruction (n=30),intra-peritoneal meconium calcification (n=5),encapsulated pneumoperitoneum (n=2) wind pocket sign dilataion of intestine ahead of the atresia (n=8),fetal type micro-colon (n=24),the diameter of colon were close to normal (n=2).The major CT finding was duodenal atresia in 3 cases.Conclusion:Plain X-ray films provided important information in showing the location of intestines atresia.Intestinal contrast studies were reliable in localizing the exact obstructed position.CT was an important supplemental examination.更多还原