儿童先天性幽门厚狭窄的上消化道造影诊断

目的探讨上消化道造影检查诊断儿童先天性幽门肥厚狭窄的临床应用价值。方法回顾性分析我院2007年6月至2013年2月经手术证实的先天性幽门肥厚狭窄病例43例，男29例，女14例，年龄16～52d，中位年龄23d。所有患儿术前均进行了上消化道造影检查，总结其上消化道造影的影像学表现。结果43例上消化道造影检查可见幽门管变细，幽门管直径为（1.90±0．20）mm，幽门管变长为（15．7±0．3）mm；可见典型的线样征、双轨征、鸟嘴征、肩样征及菌伞征，胃腔扩张，蠕动增强，钡剂排空延迟。结论上消化道造影检查在诊断儿童先天性幽门肥厚狭窄方面具有较高的临床价值。

Upper gastrointestinal radiography diagnosis of congenital hypertrophic pyloric stenosis in infants

Objective To investigate the clinical value of the upper gastrointestinal （GI） radiography in infants＇ congenital hypertrophic pylorie stenosis （CHPS）. Methods Forty-three cases of infant CHPS proved by surgery were reviewd, and 29 cases were male, 14 cases were female, the ages was from 16 to 52 days, the median age was 23days. All patients were underwent preoperative GI examination, summarize their imaging per/＇ormance of＂ GI. Results Uhrasound examination showed 43 cases of pyloric tube thinning, the diameter was （1.90±0.20） ram, pyloric tube Ive came long, the length was （15.7±0.3） mm; and visible typical imagings were with line-like symploms, double-track sign, beak sign, shoulder-like symptoms amt pileus levy, stomach cavity expansion, tmrium emptying delay. Conclu sion GI examination is of higher clinical value for diagnosing CHPS in infants.