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題 名 | Gastric Body Index in the Evaluation of Vomiting Neonates=胃體指數於新生兒嘔吐之評估 |
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作 者 | 施焄鏻; 李燕晉; 池永昌; 許清寅; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 24:2 1999.04[民88.04] |
頁 次 | 頁67-70 |
分類號 | 417.54 |
關鍵詞 | 胃體指數; 嬰兒; 新生兒; 胃腸道; 放射線攝影; Gastric body index; Infants; Newborn; Gastrointestinal tract; Radiography; |
語 文 | 英文(English) |
中文摘要 | 在腹部平面片子,由胃體指數以決定嘔吐新生兒消化道阻塞的位置。以回顧性方法分析171個嘔吐新生兒平躺的腹部平面片子。在這些病人中,56個是高位消化道阻塞,其病灶從胃至空腸前端;67個是低位消化道阻塞,其病灶從遠端迴腸至肛門,還有48個是胃食道逆流。在腹部平面片子上,胃體指數的定義是,胃體部的最大長度除以第一腰椎的高度。胃體部的最大長度,乃是由小彎到大彎畫一條平行於胸腰椎的長軸線。所有新生兒接受腹部x光平面攝影時,最少空腹4小時。百分之三十病人在檢查時,帶有胃鼻管。胃體指數的分數在高位消化道阻塞,低位消化道阻塞和胃食道逆流分別是4.60±1.45,3.38±1.66和3.17±1.13(平均值±標準誤差)。百分之九十五信心間隔在高位消化道阻塞,低位消化道阻塞和胃食道逆流分別是4.22-4.99,3.30-3.73和2.75-3.58。因此,在高位和低位消化道阻塞或高位消化道阻塞和胃食道逆流,具有統計學上有意義的差異(p<0.01)。但是在各組中,是否有鼻胃管,並無統計學上的差異。胃體指數的分數有助於分別高位消化道阻塞,低位消化道阻塞和胃食道逆流。如胃體指數大於4.22,可高度懷疑是高位消化道阻塞。 |
英文摘要 | To determine the level of gastrointestinal obstruction in a vomiting neonate on a plain abdominal radiograph using the gastric body index (GBI) We retrospectively analyzed the supine plain abdominal radiographs of 171 vomiting neonates. There were 56 cases of high gastrointestinal obstruction (HGIO) with lesions from the stomach to the proximal jejunum, 67 cases of low gastrointestinal obstruction (LGIO) with lesions from the distal ileum to the anus and 48 cases of gastroesophageal reflux (GER). We defined gastric body index as the maximal length of the body of the stomach in a coronal plane divided by the height of the vertebral body of L1 on a plain supine abdominal film. Gastric body length was determined by drawing a maximal line through the body from the lesser to the greater curvature that was parallel to the long axis of the thoracolumbar spine. All neonates had no food for at least 4 hours before the plain abdominal radiolograph was taken. Thirty percent of the patients in the study had nasogastric intubation. The average scores (mean ± standard deviation) of Gill for HGIO, LGIO and GER were 4.60 ± 1.45, 3.38 ± 1.66 and 3.17 ± 1.13 respectively. The 95 percent confidence intervals for HGIO, LGIO, GER were 4.22-4.99, 3.03-3.73 and 2.75-.58 respectively. There were significant (p<0.001) differences between HGIO and LGIO and between HGIO and GER. There was no statistical difference for babies with nasogastric tubes within each group (HGIO p=0.80, LGIO p=0.56, GER p=0.72). The GBI scores are helpful in differentiating HGIO from LGIO and GER. A score of more than 4.22 is suggestive of HGIO. |
本系統中英文摘要資訊取自各篇刊載內容。