| 罗明贤.先天性肠旋转不良的X线影像分析.[J].中南医学科学杂志.,2007,(1):42-44. |
| 先天性肠旋转不良的X线影像分析 |
| On the X-ray Imaging Features of Congenital Intestine Malrotation |
| 投稿时间：2006-08-01 |
| DOI： |
| 中文关键词: 消化道造影术 肠旋转不良 发育异常 先天性肠旋转不良 影像分析 Intestine Congenital Features 意义 诊断 钡餐检查 钡灌肠 空回肠 高度 平面 十二指肠 螺旋 屈曲 固定性 空肠 钡餐造影 碘剂 位置异常 |
| 英文关键词:alimentary tract radiography congenital intestine malrotation dysplasia |
| 基金项目: |
| 罗明贤 |
| 南华大学第一附属医院放射科,湖南衡阳421001 |
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| 中文摘要: |
| 目的 探讨消化道造影检查对先天性肠旋转不良的诊断价值.方法 回顾性分析21例手术证实为先天性肠旋转不良的X线影像改变.结果 先天性肠旋转不良患者腹部X线立位平片或透视,多数有"双泡征".钡灌肠检查能显示盲肠、阑尾、升结肠位置异常.消化道碘剂或钡餐造影既能显示空肠上端固定性屈曲或螺旋状下降或空肠上端位置异常,其与十二指肠球在同一平面高度.同时还可以显示空回肠、盲肠、阑尾、升结肠位置异常.结论 钡灌肠或/和钡餐检查对先天性肠旋转不良的诊断具有决定性意义. |
| 英文摘要: |
| Objective To discuss the roles of alimentary tract radiography in diagnosing congenital intestine malrotation.Methods A retrospective analysis was done on the x-ray imaging features of the 21 cases which were diagnosed as congenital intestine malrotation by surgery.Result Under x-ray film or fluoroscopy, most of the patients with congenital intestine malrotation turn out to be "double-bubbled" and the barium enema showed the abnormal location of cecum,appendix and ascending colon.The iodine or barium meal showed fixed flexion or corkscrew descending of superior part of jejunum,or abnormal location of superior part of jejunum,which rose up to the same height of duodenal bulb.At the same time,the abnormal location of cecum,appendix and ascending colon can also be seen. Conclusion Barium enema or/and iodine or barium meal is of decisive significance in the diagnosis of Congenital Intestine Malrotation. |
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