腹部B超在新生儿坏死性小肠结肠炎诊断中的价值分析(1)
[摘要] 目的 分析腹部B超在新生儿坏死性小肠结肠炎中的诊断价值。 方法 方便选取在2017年9月—2018年5月间在该院处收治的疑似新生儿坏死性小肠结肠炎患儿72例作为该研究的研究对象，患儿发现存在可疑病情时，为其给予腹部B超和X线等相关检查，分析检查诊断结果。 结果 患儿腹部B超检查结果为肠壁增厚、肠壁积气以及门静脉积气的患儿例数分别为32例(44.4%)、21例(29.1%)和10例(13.9%)，结果为阳性的患儿例数为63例，检出率为87.5%。X线检查结果为肠壁增厚、肠壁积气以及门静脉积气的患儿例数分别为18例(25.0%)、12例(16.7%)和6例(8.3%)，结果为阳性的患儿例数为36例，检出率为50%(χ2=23.563 6，P=0.000 0)，腹部B超检出率显著高于X线检出率，差异有统计学意义(P<0.05)。 结论 腹部B超能够有效的诊断出新生儿坏死性小肠结肠炎，从而可以医生采取有效治疗方法提供数据参考。
[关键词] 腹部B超；新生儿坏死性小肠结肠炎；诊断
[中图分类号] R722.1 [文献标识码] A [文章编号] 1674-0742(2018)11(a)-0193-03
[Abstract] Objective To analyze the diagnostic value of abdominal ultrasonography in neonatal necrotizing enterocolitis. Methods 72 children with suspected neonatal necrotizing enterocolitis who were admitted to the hospital from September 2017 to May 2018 were enrolled in this study. Children with suspicious conditions were given Abdominal B-ultrasound and X-ray and other related examinations， analyze and examine of the diagnosis results. Results The number of children with abdominal wall ultrasonography， intestinal wall thickening， intestinal wall gas accumulation， and portal vein gas accumulation were 32 case (44.4%)， 21 case (29.1%)， and 10 case (13.9%)， respectively. The number of children with positive results was 63 cases， and the detection rate was 87.5%. The results of X-ray examination showed that the number of children with intestinal wall thickening， intestinal wall gas accumulation and portal vein gas accumulation were 18 case(25.0%)， 12 (16.7%) and 6(8.3%)， respectively. The results were positive. The number of children was 36， and the detection rate was 50%(χ2=23.563 6， P=0.000 0)， the detection rate of abdominal B-ultrasound was significantly higher than that of X-ray detection， and the difference was significant(P<0.05). Conclusion Abdominal B-ultrasound can effectively diagnose neonatal necrotizing enterocolitis， so doctors can take effective treatment to provide data reference.
[Key words] Abdominal B-ultrasound； Neonatal necrotizing enterocolitis； Diagnosis
新生儿坏死性小肠结肠炎(necrotizing enterocoliris，NEC)是新生儿常见的严重胃肠道疾病， 发病率及病死率均较高[1]，临床以腹胀、呕吐、便血为主要表现，严重者可发生休克，病死率高、病情严重是该病的主要特点，尤其是在体重较低的早产儿中，患儿的病死率达到了30%[2]。NEC早期临床表现及实验室指标缺乏特异性，早期诊断困难。该研究中就以2017年9月—2018年5月间在新生儿坏死性小肠结肠炎患儿72例为研究对象，分析了腹部B超检查方式对新生儿坏死性小肠结肠炎的诊断价值，现报道如下。
1 资料与方法
1.1 一般资料
方便选取72例在该院处收治的疑似新生儿坏死性小肠结肠炎患儿作为该研究的研究对象，最终按照按照Bell分期，72例患儿均确诊为新生儿坏死性小肠结肠炎，其中Ⅰ期组(42例)、Ⅱ期组(18例)、Ⅲ期组(12例)。患儿中男女患儿例数分别为35例和37例，患儿年龄为24 h～4 d，平均年龄为(2.14±0.84)d，體重为2.51～3.32 kg，平均体重为(2.94±1.38)kg。该次研究中排除了合并有其他肠道疾病如消化道畸形的患儿以及患儿家属不同意参与研究的患儿。该组研究中两组患者的基线资料差异无统计学意义(P>0.05)，可比性良好。用多因素Logistic 回归分析X线检查阳性率以及B超检查阳性率与新生儿坏死性小肠结肠炎严重程度的关系。该研究获得了该院伦理委员会批准。, 百拇医药(和灿琳 崔珊 胡浩 张焱 李杨方)
[关键词] 腹部B超；新生儿坏死性小肠结肠炎；诊断
[中图分类号] R722.1 [文献标识码] A [文章编号] 1674-0742(2018)11(a)-0193-03
[Abstract] Objective To analyze the diagnostic value of abdominal ultrasonography in neonatal necrotizing enterocolitis. Methods 72 children with suspected neonatal necrotizing enterocolitis who were admitted to the hospital from September 2017 to May 2018 were enrolled in this study. Children with suspicious conditions were given Abdominal B-ultrasound and X-ray and other related examinations， analyze and examine of the diagnosis results. Results The number of children with abdominal wall ultrasonography， intestinal wall thickening， intestinal wall gas accumulation， and portal vein gas accumulation were 32 case (44.4%)， 21 case (29.1%)， and 10 case (13.9%)， respectively. The number of children with positive results was 63 cases， and the detection rate was 87.5%. The results of X-ray examination showed that the number of children with intestinal wall thickening， intestinal wall gas accumulation and portal vein gas accumulation were 18 case(25.0%)， 12 (16.7%) and 6(8.3%)， respectively. The results were positive. The number of children was 36， and the detection rate was 50%(χ2=23.563 6， P=0.000 0)， the detection rate of abdominal B-ultrasound was significantly higher than that of X-ray detection， and the difference was significant(P<0.05). Conclusion Abdominal B-ultrasound can effectively diagnose neonatal necrotizing enterocolitis， so doctors can take effective treatment to provide data reference.
[Key words] Abdominal B-ultrasound； Neonatal necrotizing enterocolitis； Diagnosis
新生儿坏死性小肠结肠炎(necrotizing enterocoliris，NEC)是新生儿常见的严重胃肠道疾病， 发病率及病死率均较高[1]，临床以腹胀、呕吐、便血为主要表现，严重者可发生休克，病死率高、病情严重是该病的主要特点，尤其是在体重较低的早产儿中，患儿的病死率达到了30%[2]。NEC早期临床表现及实验室指标缺乏特异性，早期诊断困难。该研究中就以2017年9月—2018年5月间在新生儿坏死性小肠结肠炎患儿72例为研究对象，分析了腹部B超检查方式对新生儿坏死性小肠结肠炎的诊断价值，现报道如下。
1 资料与方法
1.1 一般资料
方便选取72例在该院处收治的疑似新生儿坏死性小肠结肠炎患儿作为该研究的研究对象，最终按照按照Bell分期，72例患儿均确诊为新生儿坏死性小肠结肠炎，其中Ⅰ期组(42例)、Ⅱ期组(18例)、Ⅲ期组(12例)。患儿中男女患儿例数分别为35例和37例，患儿年龄为24 h～4 d，平均年龄为(2.14±0.84)d，體重为2.51～3.32 kg，平均体重为(2.94±1.38)kg。该次研究中排除了合并有其他肠道疾病如消化道畸形的患儿以及患儿家属不同意参与研究的患儿。该组研究中两组患者的基线资料差异无统计学意义(P>0.05)，可比性良好。用多因素Logistic 回归分析X线检查阳性率以及B超检查阳性率与新生儿坏死性小肠结肠炎严重程度的关系。该研究获得了该院伦理委员会批准。, 百拇医药(和灿琳 崔珊 胡浩 张焱 李杨方)