Chen Qin, Yao Weiquan, Xu Fengdan, Liao Jinfeng, Li Jinfeng, Mai Minling, Xie Haoqiang, He Xiaoguang, Li Ning
Department of Neonatal Intensive Care Unit, Dongguan Children's Hospital Affiliated to Guangdong Medical University, Dongguan, China.
Department of Medical Imaging, Dongguan Children's Hospital Affiliated to Guangdong Medical University, Dongguan, China.
Front Microbiol. 2023 Jun 6;14:1211846. doi: 10.3389/fmicb.2023.1211846. eCollection 2023.
Necrotizing enterocolitis (NEC) is a severe inflammatory bowel disease that may lead to perforation, causing high morbidity and mortality in preterm infants. Abdominal ultrasound (AUS) has been shown to provide benefits in diagnosing and managing NEC in recent years.
This study focused on the utility of AUS in the diagnosis and evaluation of surgical NEC.
In this retrospective study, available data of the patients diagnosed from January 2019 to June 2022 were reviewed. The sensitivity and specificity of AUS in diagnosing a perforation were analyzed. Typical cases for the application of AUS in monitoring and evaluating the progression, complications, and sequela of NEC were described.
There were 69 neonates diagnosed with NEC and examined by AUS, of whom eight patients developed a perforation. AUS was used for diagnosing a perforation in eight patients with key features of pneumoperitoneum and/or complex ascites, allowing us to find four locations of perforation, with a sensitivity and specificity of 100%.
AUS plays an important role in diagnosing and evaluating surgical NEC in newborn infants, with good sensitivity and specificity.
坏死性小肠结肠炎（NEC）是一种严重的炎症性肠病，可能导致穿孔，在早产儿中引起高发病率和死亡率。近年来，腹部超声（AUS）已被证明在NEC的诊断和管理中具有益处。
本研究聚焦于AUS在手术性NEC诊断和评估中的效用。
在这项回顾性研究中，回顾了2019年1月至2022年6月诊断患者的可用数据。分析了AUS诊断穿孔的敏感性和特异性。描述了AUS在监测和评估NEC的进展、并发症及后遗症方面应用的典型病例。
有69例诊断为NEC并接受AUS检查的新生儿，其中8例发生穿孔。AUS用于诊断8例具有气腹和/或复杂性腹水关键特征的穿孔患者，使我们能够发现4个穿孔部位，敏感性和特异性均为100%。
AUS在新生儿手术性NEC的诊断和评估中发挥着重要作用，具有良好的敏感性和特异性。
