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| 題 名 | 利用腹部超音波診斷新生兒肥厚性幽門狹窄症及其術後追蹤之探討 |
|---|---|
| 作 者 | 許雅光; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 20:5 1987.09[民76.09] |
| 頁 次 | 頁383-388 |
| 分類號 | 417.517 |
| 關鍵詞 | 腹部超音波; 新生兒肥厚性幽門狹窄症; 術後追蹤; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 台北市立婦幼綜合醫院自民國74年11月至75年6月間,共手術五例新生兒肥厚性幽門狹窄症(IHPS)的病例,術前用腹部超音波檢查皆發現有target sign出現。同時我們用腹部超音波測得幽門肌肉的厚度(T)及幽門的前後徑(D)之大小,此五例IHPS所測得的D及T的大小,皆合乎國外文獻上的標準,經剖腹探查手術後,證明為IHPS。我們對這五個例,在其手術後六週,再作腹部超音波追踪檢查,皆證明術後其幽門厚度(T)及前後徑(D)變為正常新生兒幽門之大小。我們提出這五例IHSP的為例,其手術前超音波檢查及術後追踪之結果加以分析,並與國外文獻報導者比較討論。 |
| 英文摘要 | The diagnosis of infantile hypertrophic pyloric stenosis (IHPS)is usually based on medical history, physical examination, and upper G-I series. To avoid irradiation and misdiagnosis by physical examination, abdominal ultrasound imaging was performed in our hospital on 5 infants who presented with vomiting. Each imaged patient had determinations of the two described diagnostic pyloric muscle measurements: Pyloric muscle thickness (T) and pyloric muscle diameter (D) The result of determination of pyloric muscle measurement in our study (T≧0.64 cm, 0≧1.86 cm) was as saine as the published criteria for the ultrasound diagnosis of IHPS. 5. patients were re-examined with high resolution real time ultrasound following Rammstedt pyloromyotomy. Sequential sonograms showed that both measurements fell to normal levels (T≦0.2 cm and D≦1.2 cm) after 6 weeks. This study shows that real time sonography not only can determine the severity of pyloric stenosis but also demonstrate postoperative appearance. |
本系統中英文摘要資訊取自各篇刊載內容。