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2016 ; 32
(5
): 1251-1256
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Diagnostic value and disease evaluation significance of abdominal ultrasound
inspection for neonatal necrotizing enterocolitis
#MMPMID27882031
Wang L
; Li Y
; Liu J
Pak J Med Sci
2016[Sep]; 32
(5
): 1251-1256
PMID27882031
show ga
OBJECTIVE: To summarize abdominal plain X-rays and ultrasound characteristics of
144 cases of Neonatal Necrotizing Enterocolitis (NEC) and to analyze diagnostic
value and disease evaluation significance of abdominal ultrasound inspection for
NEC. METHODS: Clinical data of 144 NEC patients were retrospectively analyzed
from February 2014 to December 2015. The patients were divided into suspected NEC
group (N=74) and confirmed NEC group (N=70) according to amended Bell-NEC
classification and diagnostic criteria. Meanwhile, we divided them into internal
medicine treatment group (N=95) and surgery/death group (N=49) according to
clinical prognosis and took records of their clinical manifestations, laboratory
inspection results and abdominal plain X-rays and ultrasound characteristics.
RESULTS: For confirmed NEC group, the detection rate of portal venous gas (PVG)
and dilatation of intestine by abdominal ultrasound was obviously higher than by
plain X-rays (P<0.05). Abdominal ultrasound inspection revealed that the
incidence rate of dilatation of intestine, bowel wall thickening and ascites
(acoustic transmission difference) of the surgery/death group was higher than
that of the internal medicine treatment group by comparing risk ratio (RR) and
95% confidence interval (CI) of RR; the difference was statistically significant
(P<0.05). The abdominal plain X-rays inspection only showed the result that
dilatation of intestine and free intraperitoneal air was more often found in the
surgery/death group (P<0.05). CONCLUSION: Compared with abdominal plain X-rays,
abdominal ultrasound has certain clinical value and offers more advantages in
some aspects; therefore, it can be considered as the reference index in
prediction of clinical prognosis.