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目的 :针对婴儿肥厚性幽门狭窄的影像学表现进行讨论,为日后的临床诊断提供参考与指导。方法 :选择我院于2013年3月—2015年2月收治的婴儿肥厚性幽门狭窄患儿100例为研究对象,所有患儿均实施X线钡餐检查,观察临床诊断结果。结果 :经过临床观察与分析,所有患儿均得到临床确诊,判定为肥厚性幽门狭窄;合并伴有胃窦部隔膜型狭窄32例,合并伴有胃食管返流35例,合并伴有食管裂孔疝3例。无误诊、漏诊。结论 :针对婴儿肥厚性幽门狭窄,实施X线钡餐检查后,可以对患儿的影像学表现有一个深刻的了解,有效明确患儿的具体病因,以及是否存在并发症等等,为后续的治疗、康复等,提供了较多的参考与指导,对患儿的积极意义较大。建议在日后的临床诊断中,将X线钡餐检查推广应用,确保影像学表现突出。
Objective: To discuss the imaging findings of hypertrophic pyloric stenosis in infants and to provide reference and guidance for clinical diagnosis in the future. Methods: A total of 100 infants with hypertrophic pyloric stenosis in our hospital from March 2013 to February 2015 were enrolled in this study. All children underwent X-ray barium meal examination to observe the clinical diagnosis results. Results: After clinical observation and analysis, all the children were clinically diagnosed as hypertrophic pyloric stenosis. Thirty-two cases with membranous antral stenosis and 35 cases with gastroesophageal reflux were complicated with esophageal hiatus Hernia in 3 cases. No misdiagnosis, missed diagnosis. Conclusion: For the hypertrophic pyloric stenosis in infants, the implementation of X-ray barium meal examination can have a profound understanding of children’s imaging findings, and effectively identify the specific etiology of children and whether there are complications and so on, for the follow-up treatment , Rehabilitation, etc., to provide more information and guidance, the positive significance of children larger. It is suggested that in the future clinical diagnosis, the X-ray barium meal examination should be popularized and applied to ensure the imaging performance is outstanding.