在生命值的婴儿中腹部超声波扫描NEC:一个单一的中心体验
Natalie Vallant1, Hemanshoo Thakkar1, Haran Jogeesvaran2
1Department of Paediatric Surgery, Evelina London Children's Hospital, London, UK.
Journal of pediatric surgery
|November 13, 2023
概括
腹部超声波扫描 (AUSS) 有助于诊断早产婴儿在怀孕24周之前出生的死角性肠球炎 (NEC). 这种成像模式有助于识别需要为NEC进行手术干预的新生儿.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像诊断成像的使用
背景情况:
- 新生儿部门越来越多地照顾极其早产婴儿 (<24周怀孕).
- 这些易受伤害的婴儿面临死亡性肠球炎 (NEC) 的高风险.
- 在这个人群中,NEC的临床和放射性表现往往是非典型的,使诊断复杂化.
研究的目的:
- 评估腹部超声波扫描 (AUSS) 在诊断怀孕24周以下的新生儿中NEC的作用和有效性.
- 为了将AUSS发现与普通放射和手术内发现进行比较.
- 确定AUSS是否可以可靠地识别那些可以从手术中受益的婴儿.
主要方法:
- 对怀孕24周以下,怀疑患有NEC,接受AUSS的婴儿进行了回顾性队列研究.
- 从2015年1月到2023年1月收集的数据.
- 将AUSS发现与普通放射和手术内发现进行比较.
主要成果:
- 17名怀疑患有NEC的婴儿接受了AUSS.
- 十二名婴儿在腹腔切除术中确诊了NEC;在这些情况下,AUSS确定了复杂的,炎症/腹膜肠,或收集.
- 五名未经手术治疗的婴儿在AUSS上显示了简单的自由液体或炎症/腹膜肠等发现,没有随后的手术或与NEC相关的死亡率.
结论:
- 腹部超声波扫描是非常早产婴儿中NEC的宝贵诊断工具.
- AUSS可以准确地区分需要手术干预的NEC婴儿与非手术治疗的婴儿.
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