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先天性巨结肠X线诊断和分析
引用本文:陆林,阮君,张小安. 先天性巨结肠X线诊断和分析[J]. 胃肠病学和肝病学杂志, 2002, 11(3): 254-255,264
作者姓名:陆林  阮君  张小安
作者单位:1. 郑州大学第三附属医院,郑州,450052
2. 郑州大学二附院
摘    要:目的:探讨先天性巨结肠(HD)的临床表现、X线表现及其分型,重点探讨X线钡灌肠的方法和漏诊原因。方法:对198例已经手术和粘膜活检证实的HD进行回顾性分析。结果:(1)HD的主要临床表现为出生后少或不排胎粪、呕吐及进行性腹胀,X线检查是诊断本病的主要检查方法。(2)根据病变痉挛段范围不同,可将本组病例分为五型。结论:钡灌肠检查是诊断HD最可靠、最简便的方法。

关 键 词:先天性巨结肠 X线诊断 临床表现

Diagnosis and analysis of congenital menacdonlu with x-ray
Lu Lin,Ruan Jun,Zhang Xiaoan The Third Affiliated Hospital,Zhengzhou University,Zhengzhou. Diagnosis and analysis of congenital menacdonlu with x-ray[J]. Chinese Journal of Gastroenterology and Hepatology, 2002, 11(3): 254-255,264
Authors:Lu Lin  Ruan Jun  Zhang Xiaoan The Third Affiliated Hospital  Zhengzhou University  Zhengzhou
Affiliation:Lu Lin,Ruan Jun,Zhang Xiaoan The Third Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
Abstract:Aim To study the clinical manifestation,x-ray manifestation and case-type in HD,mainly discuss the method of x-ray barium enema and the cause of missed diagnosis.Methods 198 cases of HD confirmed by surgery and biopsy were retrospectively studied.Results (1)The main clinical manifestations in HD were little or no meconium,vomitting and progessive abdominal distension after the babies were born.x-ray was the main examining method;(2)Acoording to different spasmodic segment,the cases were divided into 5 types.Conclusions The x-ray barium enema is the reliablest and simplest method in HD diagnosis.
Keywords:Congenital megacolon(HD) X-ray Barium enema diagnosis
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