标题:新生儿肠旋转不良合并中肠扭转的超声诊断价值
作者:覃伶伶 1,符少清 1,林 海 2
(海南省人民医院超声科 1、小儿外科 2,海南 海口 570311)
卷次:
2012年23卷8期
【摘要】 目的 探讨超声对新生儿肠旋转不良合并中肠扭转(Midgut volvulus in intestinal malrotation,
MVIM)的诊断价值。方法 对11例术前超声明确诊断并经手术证实的MVIM新生儿的临床及超声资料进行回
顾性分析。结果 超声均发现肠系膜根部肠系膜上静脉围绕肠系膜上动脉顺时针旋转形成的“漩涡征”,旋转度
数为270°~720°,诊断符合率为100%。结论 超声诊断新生儿MVIM特异性强,准确率高,应作为术前确诊的首
选检查方法。
【关键词】 肠旋转不良;中肠扭转;新生儿;超声检查
【中图分类号】 R722 【文献标识码】 A 【文章编号】 1003—6350(2012)08—088—02<
br>Valuie of ultrasound in the diagnosis of intestinal malrotation with midgut volvulus in neonates.
QIN Ling-ling 1,
FU Shao-qing 1, LIN Hai 2. Department of Ultrasound 1, Department of Pediatric Surgery 2, People's Hospital of Hainan
Province, Haikou 570311 Hainan, CHINA
【Abstract】 Objective To investigate the value of ultrasound in the diagnosis of intestinal malrotation with
midgut volvulus in neonates. Methods The clinical and ultrasonic records in 11 neonates of MVIM, diagnosed
by ultrasound before operation and proved by surgery, were retrospectively reviewed. Results Ultrasound
showed complete clockwist twisting of the superior mesenteric vein along with the root of superior mesenteric ar-
tety giving a“whirlpool”sign in all cases. The rotation was 270° ~720° and the accurate rate of ultrasound was
100%. Conclusion Ultrasound can specifically and accurately diagnose the MVIM in neonates, which can be used
as the first choice for MVIM.
【Key words】 Intestinal malrotation; Midgut volvulus; Neonate; Ultrasound
下载PDF