【摘要】 目的探讨新生儿先天性巨结肠X线诊断与鉴别诊断。方法选取河南省信阳市中心医院2018年1月—2020年4月收治的65例先天性巨结肠新生儿纳入本研究,均使用X线诊断并与其他疾病鉴别诊断。结果 65例新生儿腹部平片X线中52.3%为结肠梗阻征,32.3%为结肠淤张征,15.4%为阴性X线征;依据HD分型标准,钡剂灌肠X线表现中4.6%为短段型,75.4%为常见型,9.2%为长段型,10.8%为全结肠型。间隔24～48 h后复查,89.2%钡剂潴留,其中77.6%钡剂潴留位于低于降结肠位置,17.2%位于整个结肠,5.2%扩张段黏膜存在大锯齿状变化。结论新生儿先天性巨结肠首选诊断方法为钡剂灌肠造影X线检查,需掌握检查方法与主要征象,与其他疾病相鉴别,以提高诊断准确率。更多还原

【Abstract】 Objective To explore the X-ray diagnosis and differential diagnosis of Hirschsprung’s disease in newborns. Methods A total of 65 neonates with Hirschsprung’s disease admitted to Xinyang Central Hospital from April 2017 to April 2020 were selected and included in this study. All of them were diagnosed by X-ray and differentiated from other diseases. Results In 65 cases of neonatal abdominal plain film X-rays, 52.3% were colonic obstruction signs, 32.3% were colonic stasis signs, and 15.4% were negative X-ray signs; according to HD classification cRITeria, 4.6% of barium enema X-ray findings were short for the segment type, 75.4% were common type, 9.2% were long segment type, and 10.8% were full colon type. Reexamination after an interval of 24 to 48 hours, 89.2% of barium retention, of which 77.6% of barium retention is located below the descending colon, 17.2% is located in the entire colon, and 5.2% of the expanded mucosa has large jagged changes. Conclusion The first choice for the diagnosis of Hirschsprung’s disease in newborns is barium enema X-ray examination. The examination methods and main signs need to be mastered and differentiated from other diseases to improve the diagnosis accuracy.更多还原