论文部分内容阅读
目的对钡剂结肠造影方法进行改良以提高术前小儿先天性巨结肠诊断的正确率。方法 35例小儿先天性巨结肠患儿在钡剂结肠造影检查前均摄腹部立位片,采用改良钡剂结肠造影方法进行操作。结果 35例小儿先天性巨结肠患儿应用改良钡剂结肠照影检查方法阳性检出33例,造影结果与手术病理结果对照,诊断符合率为94.3%(33/35)。按分型有短段型10例(30.3%)、常见型19例(57.6%)、长段型3例(9.1%)、全结肠型有1例(3.0%)。2例合并腹泻患儿漏诊。结论改良钡剂结肠造影能客观显示病变结肠的形态及范围,可动态观察结肠的蠕动功能,提高术前小儿先天性巨结肠的诊断正确率。
Objective To improve the method of barium colonic angiography to improve the accuracy of diagnosis of Hirschsprung’s disease in preoperative children. Methods Thirty-five children with Hirschsprung’s disease underwent abdominal biopsy before barium colonoscopy. The patients underwent modified barium colonography. Results Thirty-three children with Hirschsprung’s disease were detected by modified barium colonoscopy. The diagnostic accuracy was 94.3% (33/35) in contrast with the results of surgery and pathology. According to the classification, there were 10 cases (30.3%) with short segment type, 19 (57.6%) with common type, 3 (9.1%) with long segment and 1 (3.0%) with colon type. Two cases of misdiagnosis in children with diarrhea. Conclusion Improved barium colonoscopy can objectively display the shape and extent of the diseased colon, and can dynamically observe the peristalsis of the colon and improve the diagnostic accuracy of preoperative Hirschsprung’s disease.