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目的 :了解肠闭锁的临床及影像检查方法与表现。方法 :本组 13例均经手术证实为肠闭锁 ,其中 3例十二指肠闭锁 ,4例空肠闭锁 ,3例回肠闭锁 ,3例结肠闭锁 ,临床以呕吐、进行性腹胀为首发症状 ,呕吐物可含胆汁及粪水物 ,部分病例有排胎粪史 ,全部均行腹部立卧位平片检查 ,其中 6例经胃管行胃、小肠碘水造影 ,7例行大肠钡灌造影。结果 :13例均有肠梗阻的临床症状 ,腹部平片均显示不同平面的肠梗阻 ,6例胃肠造影中 4例可显示肠闭锁的盲端 ,1例发现小肠其它先天性异常 ,7例大肠灌肠造影直接显示或提示肠闭锁部位 ,胎儿型结肠对本病较具诊断意义。结论 :术前通过消化道造影检查可以明确或提示肠闭锁的诊断。
Objective: To understand the clinical and imaging findings of intestinal atresia. Methods: The group of 13 cases were confirmed by surgery for intestinal atresia, including 3 cases of duodenal atresia, 4 cases of jejunal atresia, 3 cases of ileal atresia, 3 cases of colon atresia, clinical vomiting, progressive abdominal distension as the first symptom, vomiting Materials may contain bile and fecal matter, some cases of row dung, all underwent horizontal abdominal plain film examination, of which 6 cases of gastric stomach, small intestine iodine water imaging, 7 cases of large bowel irrigation angiography. Results: The clinical manifestations of intestinal obstruction were all found in 13 cases. Different levels of flat intestine obstruction were shown in plain radiographs. In 6 cases of gastrointestinal angiography, 4 cases could show the blind end of intestinal atresia, 1 case of other congenital anomalies found in small intestine, 7 cases Colonic enema directly to the intestinal atresia or prompt display of the site, the fetus type of colon more diagnostic significance of the disease. Conclusion: Preoperative gastrointestinal imaging can confirm or prompt the diagnosis of intestinal atresia.