Application of sagittal abdominal CT scan in determination of neonatal congenital anorectal atresia

ZHENG Helin; et al

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Application of sagittal abdominal CT scan in determination of neonatal congenital anorectal atresia

更新时间：2024-01-17

- Application of sagittal abdominal CT scan in determination of neonatal congenital anorectal atresia
- Journal of Chongqing Medical University Issue 2, Pages: 250-252(2006)
- 作者机构：
  
  1. 重庆医科大学附属儿童医院放射科
  2. 重庆医科大学附属儿童医院放射科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：
  CLC： R816.92
- Published：2006，
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[1]郑鹤琳,何玲,蔡金华,李昊.矢状位CT扫描在新生儿先天性肛门直肠闭锁中的应用[J].重庆医科大学学报,2006(02):250-252.

ZHENG Helin, et al. Application of sagittal abdominal CT scan in determination of neonatal congenital anorectal atresia. [J]. Journal of Chongqing Medical University (2):250-252(2006)
[1]郑鹤琳,何玲,蔡金华,李昊.矢状位CT扫描在新生儿先天性肛门直肠闭锁中的应用[J].重庆医科大学学报,2006(02):250-252. DOI：

ZHENG Helin, et al. Application of sagittal abdominal CT scan in determination of neonatal congenital anorectal atresia. [J]. Journal of Chongqing Medical University (2):250-252(2006) DOI：

摘要

目的:探讨腹部矢状位CT扫描在新生儿先天性肛门直肠闭锁中的应用价值。方法:对5例先天性肛门直肠闭锁的新生儿均于术前行倒立侧位腹部平片、B超检查和腹部CT矢状位扫描

对5例先天性肛门直肠闭锁的新生儿于术前仅行腹部CT矢状位扫描

并分别测量闭锁高度

分析3种检查方法的测量结果与手术测量结果的相关性。结果:10例CT均清晰显示闭锁盲端。CT和B超测量结果与术中测值的相关系数分别为0.988和0.991

相关性非常显著（P<0.01）。平片测值与术中测值的相关系数为0.635

无显著相关（P>0.05）。结论:腹部矢状位CT判断闭锁高度的准确性与B超相似

明显高于常规X线检查

可作为先天性肛门直肠闭锁的一种选择性检查手段。

Abstract

Objective: To investigate the clinical application of sagittal abdominal CT scan in determination of neonatal congenital anorectal atresia.Methods: Preoperative examinations

including leteral up-side-down abdominal plain film

ultrasound and sagittal abdominal CT scan

were performed in 5 neonates with congenital anorectal atresia.The distance between the atresic pouch and skin was measured with the three imaging modalities

and correlated respectively with the results obtained during operation.Results: The atresic pouch was observed distinctively on CT images in all 5 cases.The measurement results derived by CT and ultrasound were well correlated with that derived during operation

with a correlation coefficient of 0.988 for CT and operation

and 0.991 for ultrasound and operation.There was no significant correlation between the measurement results derived by plain film and during operation

with a correlation coefficient of 0.635.Conclusion: Sagittal abdominal CT scan

as accurate as ultrasound and more accurate than plain film for determination of the atresic level

could be used as a choice of imaging modality in neonatal congenital anorectal atresia.

关键词

新生儿先天性肛门直肠畸形CT

Keywords

neonatesCongenital anorectal atresiaCT

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