| 胎粪性腹膜炎X线平片诊断价值的回顾分析 |
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| 引用本文： | 杨鸣姝,乔中伟.胎粪性腹膜炎X线平片诊断价值的回顾分析[J].上海医学影像,2010,19(1):18-21. |
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| 作者姓名： | 杨鸣姝 乔中伟 |
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| 作者单位： | 复旦大学附属儿科医院放射科,201102 |
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| 摘 要： | 目的探讨无钙化斑的胎粪性腹膜炎的X线特征和鉴别诊断要点。方法回顾性分析54例胎粪性腹膜炎,其中45例手术治疗,按X线平片是否有腹部钙化斑,分为有钙化组(A)和无钙化组(B),对组内病例的临床资料、腹部X线平片特点、手术病理结果进行分析,并探讨其术后预后情况结果54例患者中腹部X线平片表现为肠梗阻27例,肠梗阻伴腹水23例,气腹12例。B组肠梗阻伴腹水、游离气腹的发生率较A组高,合并肠坏死、肠穿孔、肠扭转的比例较高;产前B超异常的比例B组(62.5%)明显高于A组(36.8%);A、B组各有4例术后出现需手术治疗的粘连性肠梗阻。结论胎粪性腹膜炎X线平片表现以肠梗阻多见。无钙化斑者发生肠坏死、肠穿孔、肠扭转的可能大,预后差。无钙化斑的胎粪性腹膜炎X线诊断要点为肠梗阻伴腹水,结合产前B超,可做出正确诊断,应及时手术。
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| 关 键 词： | 胎粪性腹膜炎 钙化 X线平片 诊断 治疗 |
Retrospective analysis for diagnostic value of meconium peritonitis by X-ray plain film |
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| YANG Ming-shu,QIAO Zhong-wei.Retrospective analysis for diagnostic value of meconium peritonitis by X-ray plain film[J].Shanghai Medical Imaging,2010,19(1):18-21. |
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| Authors: | YANG Ming-shu QIAO Zhong-wei |
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| Affiliation: | YANG Ming-shu,QIAO Zhong-wei (Department of Radiology.Children\'s Hospital of Fudan University.Shanghai.201102,China) |
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| Abstract: | Objective To discuss the characteristics of X-ray plain film in infants with meconium peritonitis without calcification, and to evaluate the significance of these characteristics in the etiological diagnosis,treatment and prognosis.Methods Fifty four infants with meconium peritonitis were retrospectively analyzed,including clinical history,X-ray plain films and pathological results.We divided patients into group A with calcification on X-ray plain film and group B without calcification on X-ray plain film.T... |
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| Keywords: | Meconium peritonitis Calcification X-ray plain film Diagnosis Treatment |
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