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目的分析新生儿细小结肠的影像表现与其相关疾病的关系。方法搜集本院经结肠造影及临床证实的150例新生儿细小结肠进行分析。结果 150例新生儿显示全组结肠不同程度细小,结肠宽径0.5-1.0cm112例、小于0.5cm38例,直肠壶腹消失101例,骶前间隙增宽101例,肛门插管紧缩感26例,结肠造影阻力增高81例,结肠走行僵直26例,结肠短缩脾曲钝化26例,肠旋转不良32例,随着灌肠压力增高结肠扩张101例,造影剂进入末端回肠133例,随着造影剂排出胎粪31例,临床证实,胎粪栓塞18例,全结肠巨结肠26例,胎粪性腹膜炎12例,小肠闭锁59例,肠造瘘术后35例。结论新生儿细小结肠造影表现与其疾病成因有相关性,可为临床治疗提供可靠的依据。
Objective To analyze the relationship between the imaging manifestations of neonatal small intestine and its related diseases. Methods We collected 150 cases of neonatal small colon confirmed by colonic angiography and clinically confirmed in our hospital. Results 150 cases of newborns showed that the whole colon was small in varying degrees, the diameter of the colon was 0.5-1.0 cm in 112 cases, less than 0.5 cm in 38 cases, 101 in the rectum ampulla disappeared, 101 in the presacral space widened, 26 in anal intubation, Colonic angiography increased resistance in 81 cases, colon stiffening in 26 cases, short bowel spleen passivation in 26 cases, 32 cases of bowel dysfunction, with the enema pressure increased colon dilatation in 101 cases, contrast agent into the terminal ileum in 133 cases, with angiography 31 cases of excretion of meconium, clinically confirmed 18 cases of meconium-embolization, 26 cases of colon-colon megacolon, 12 cases of meconium peritonitis, small bowel atresia in 59 cases, 35 cases of intestinal fistulation. Conclusion Neonatal small colonography and its causes of disease are related to provide a reliable basis for clinical treatment.