Kim Jae H
SPIN Program, San Diego Mothers' Milk Bank, Division of Neonatology, UC San Diego, 9300 Campus Point Drive MC7774, La Jolla, CA 92037, USA; Division of Pediatric Gastroenterology, Hepatology and Nutrition, Rady Children's Hospital-San Diego, 3020 Children's Way, San Diego, CA 92123.
Clin Perinatol. 2019 Mar;46(1):119-127. doi: 10.1016/j.clp.2018.10.006. Epub 2018 Dec 20.
Current assessment for and diagnosis of necrotizing enterocolitis (NEC) remain inadequate. The introduction of interrogating bowel with ultrasound when NEC is suspected or when NEC has occurred presents greater opportunity to characterize the physical changes that have occurred in the bowel wall structures. The evaluation of bowel by ultrasound has been shown to have high specificity for bowel necrosis. There are current barriers in adoption of these techniques because they have not been integrated into routine diagnostic imaging and are not well incorporated in neonatal medicine.
目前对坏死性小肠结肠炎(NEC)的评估和诊断仍不充分。当怀疑或已发生NEC时,采用超声检查肠道能提供更多机会来描述肠壁结构发生的物理变化。超声对肠坏死的评估具有很高的特异性。目前采用这些技术存在障碍,因为它们尚未整合到常规诊断成像中,也未很好地纳入新生儿医学。