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目的探讨上消化道造影检查诊断儿童先天性幽门肥厚狭窄的临床应用价值。方法回顾性分析我院2007年6月至2013年2月经手术证实的先天性幽门肥厚狭窄病例43例,男29例,女14例,年龄16~52 d,中位年龄23 d。所有患儿术前均进行了上消化道造影检查,总结其上消化道造影的影像学表现。结果 43例上消化道造影检查可见幽门管变细,幽门管直径为(1.90±0.20)mm,幽门管变长为(15.7±0.3)mm;可见典型的线样征、双轨征、鸟嘴征、肩样征及菌伞征,胃腔扩张,蠕动增强,钡剂排空延迟。结论上消化道造影检查在诊断儿童先天性幽门肥厚狭窄方面具有较高的临床价值。
Objective To investigate the clinical value of upper gastrointestinal imaging in the diagnosis of congenital pyloric hypertrophy in children. Methods Retrospective analysis of our hospital from June 2007 to February 2013 confirmed by surgery in 43 cases of congenital pyloric hypertrophy, 29 males and 14 females, aged from 16 to 52 d, the median age of 23 d. All children underwent upper gastrointestinal imaging before surgery to summarize the imaging findings of upper gastrointestinal angiography. Results In 43 cases of upper gastrointestinal tract angiography, the pyloric duct was thinned. The diameter of the pyloric duct was (1.90 ± 0.20) mm and the length of the pyloric duct was (15.7 ± 0.3) mm. The typical signs of the line, double track sign, beak sign Shoulder signs and bacterial paralysis, stomach cavity expansion, increased peristalsis, delayed barium emptying. Conclusion Upper gastrointestinal imaging has a high clinical value in the diagnosis of congenital pyloric hypertrophy and stenosis in children.