MRI对新生儿坏死性小肠结肠炎诊断价值研究
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摘要
目的分析MRI对新生儿坏死性小肠结肠炎诊断价值。方法以2015年3月1日-2016年3月30日共251例(NEC)患儿作为对照组,采用X线诊断,以研究阶段2016年4月1日-2017年10月30日,共纳入研究对象206例,观察组采用MRI,比较两组诊断价值。结果两组患儿的性别比、年龄、出生体重、X线诊断量表分数差异无统计学意义(P>0.05)。观察组Ⅰ期确诊56例,Ⅱ期确诊45例、Ⅲ期确诊43例,总共确诊144例,70.0%,对照组确诊45例,17.93%。对照组肠壁增厚阳性检出率88例(34.38%)、肠周渗出检出79例(31.47%)与观察组检出肠壁增厚182例,肠周渗出181例(87.86%)差异显著有统计学意义,P<0.05。结论 MRI对早期新生儿坏死性小肠结肠炎有着较高确诊率与检出率,值得临床推广。
Objective To analyze the diagnostic value of MRI in neonatal necrotizing enterocolitis(necrotizing enterocolitis,NEC). Methods From March 1st, 2015 to March 30 th, 2016, 251 children with NEC were selected as the control group. The patients were diagnosed by X-ray, and 206 patients were included in the study from April 1st, 2016 to October 30 th, 2017, from April 1st, 2016 to October 30 th, 2017. MRI, was used to compare the diagnostic value of the two groups in the observation group. Results There was no significant difference in sex ratio,age, birth weight and the score of X-ray diagnostic scale between the two groups( P>0.05). In the observation group, 56 cases were diagnosed in stage Ⅰ, 45 cases in stage Ⅱ, 43 cases in stage Ⅲ, 144 cases were diagnosed in total, and 45 cases were diagnosed in control group(17.93%). The positive rate of intestinal wall thickening was 34.38% in the control group, 79 cases(31.47%) in periintestinal exudation, 182 cases in the observation group and 181 cases(87.86%) in periintestinal effusion(P<0.05). Conclusions MRI was valuable in the diagnosis of neonatal necrotizing enterocolitis.
Objective To analyze the diagnostic value of MRI in neonatal necrotizing enterocolitis(necrotizing enterocolitis,NEC). Methods From March 1st, 2015 to March 30 th, 2016, 251 children with NEC were selected as the control group. The patients were diagnosed by X-ray, and 206 patients were included in the study from April 1st, 2016 to October 30 th, 2017, from April 1st, 2016 to October 30 th, 2017. MRI, was used to compare the diagnostic value of the two groups in the observation group. Results There was no significant difference in sex ratio,age, birth weight and the score of X-ray diagnostic scale between the two groups( P>0.05). In the observation group, 56 cases were diagnosed in stage Ⅰ, 45 cases in stage Ⅱ, 43 cases in stage Ⅲ, 144 cases were diagnosed in total, and 45 cases were diagnosed in control group(17.93%). The positive rate of intestinal wall thickening was 34.38% in the control group, 79 cases(31.47%) in periintestinal exudation, 182 cases in the observation group and 181 cases(87.86%) in periintestinal effusion(P<0.05). Conclusions MRI was valuable in the diagnosis of neonatal necrotizing enterocolitis.
引文
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[20]宁岩.38例新生儿坏死性小肠结肠炎临床分析[J].中国现代药物应用,2014(24):62-63.
[2]吴鹰军,刘梦娴,覃安志,等.白介素-8在新生儿坏死性小肠结肠炎诊断中的价值及意义[J].中国临床医生杂志,2017,45(8):108-110.
[3]陈薇.新生儿坏死性小肠结肠炎腹部B超表现与临床转归的关系[J].胃肠病学和肝病学杂志,2017,26(4):435-439.
[4]李苑秋.探讨腹部超声检查对新生儿坏死性小肠结肠炎的诊断价值[J].世界最新医学信息文摘,2017,17(12):151-152.
[5]张丽意.超声对新生儿坏死性小肠结肠炎的诊断价值[C].2016年浙江省超声医学学术年会论文汇编.2016:1.
[6]路勇明.新生儿坏死性小肠结肠炎发病危险因素及血清肠脂肪酸结合蛋白在其早期诊断的临床价值[J].中外医学研究,2016,14(19):113-114.
[7]褚洪光,王鹏.新生儿坏死性小肠结肠炎应用超声诊断的临床价值[J].现代消化及介入诊疗,2016,21(1):79-80.
[8]陈小雅.高频超声技术对新生儿重症监护中腹部疾病的诊断价值[C].中国超声医学工程学会第四届全国浅表器官及外周血管超声医学学术会议论文汇编,2013:2.
[9]张钰杭.超声在新生儿坏死性小肠结肠炎的诊断价值[J].齐齐哈尔医学院学报,2016,37(6):758-759.
[10]杨磊,徐巍,李永伟.腹部超声在新生儿坏死性小肠结肠炎诊断及病情评估中的价值[J].中国当代儿科杂志,2016,18(2):108-112.
[11]Montagnana M,Lippi G,et al.Evaluation of metallopro teinases 2 and 9 and their inhibitors in physiologic and pre-eclamptic pregnancy[J].J Clin Lab Anal,2009,23(2):88-92.
[12]张连军,裴玉芳,魏春雷,等.腹部X线和彩超对新生儿坏死性小肠结肠炎诊断的研究[J].中国优生与遗传杂志,2014,22(8):81-82.
[13]邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].第4版.北京:人民卫生出版社,2011:477-478.
[14]许笑南,何少茹,郑曼利,等.新生儿坏死性小肠结肠炎各期危险因素差异分析[J].中华实用儿科临床杂志,2013,28(19):1483-1486.
[15]秦乐,王志琴.145例新生儿坏死性小肠结肠炎的护理[J].当代护士,2013,11(2):67.
[16]卢晓燕,谭玮.早产儿坏死性小肠结肠炎54例影响因素临床分析[J].江西医药,2013,48(7):610-612.
[17]陆妹,朱小瑜,刘登礼,等.新生儿坏死性小肠结肠炎危险因素临床分析[J].中国新生儿科杂志,2012,27(6):382-385.
[18]杨洋,吴海涛.新生儿坏死性小肠结肠炎的危险因素分析[J].中外医学研究,2013(32):38-39.
[19]王雪莲,陈超.新生儿坏死性结肠炎的病因及危险因素研究进展[J].中华儿科杂志,2013,51(5):340-344.
[20]宁岩.38例新生儿坏死性小肠结肠炎临床分析[J].中国现代药物应用,2014(24):62-63.