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床旁超声诊断及监测坏死性小肠结肠炎病程

Point-of-care Ultrasound to Diagnose and Monitor the Course of Necrotizing Enterocolitis.

作者信息

Chetan Chinmay, Garegrat Reema, Hazarika Jayanta, Maheshwari Akhil, Suryawanshi Pradeep

机构信息

Department of Neonatology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

Department of Neonatology, Gupta Neonatal Hospital, Hisar, Haryana, India.

出版信息

Newborn (Clarksville). 2023 Jul-Sep;2(3):203-213. doi: 10.5005/jp-journals-11002-0070. Epub 2023 Sep 26.

DOI:10.5005/jp-journals-11002-0070
PMID:37974931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10653205/
Abstract

CONTEXT

Neonatal gut ultrasound (US) is an emerging clinical tool for quick diagnosis and prognosis in various abdominal pathologies. In this review, we summarize normal gut US findings and concentrate on the specifications of diagnosing necrotizing enterocolitis.

EVIDENCE

A comprehensive literature search was conducted across numerous sources with relevant keywords along with the specified age group of 0-28 days of life.

FINDINGS

This review describes the normal gut US picture with the basic technicalities needed to master the art of point-of-care (POC) abdominal US. This modality is gaining importance due to its accuracy, applicability, safety, and affordability. Key findings include altered bowel perfusion, decreased peristalsis, and bowel wall thickening with better precision compared to abdominal X-ray (AXR). Many meta-analyses and narrative reviews have already demonstrated their usefulness. The high specificity and positive predictive value could make this tool a guide for early identification and prompt surgical intervention in the dreaded diagnosis of necrotizing enterocolitis.

CONCLUSION

Emerging evidence and expertise in the field of abdominal US will make it a valuable tool for early diagnosis and prognosis of necrotizing enterocolitis.

摘要

背景

新生儿肠道超声（US）是一种新兴的临床工具，可用于快速诊断各种腹部病变并判断预后。在本综述中，我们总结了正常肠道超声检查结果，并着重介绍坏死性小肠结肠炎的诊断规范。

证据

通过在众多来源中使用相关关键词以及特定的0至28天龄组进行了全面的文献检索。

研究结果

本综述描述了正常肠道超声图像以及掌握床旁（POC）腹部超声技术所需的基本技术。由于其准确性、适用性、安全性和可承受性，这种检查方式正变得越来越重要。主要发现包括肠道灌注改变、蠕动减弱以及肠壁增厚，与腹部X线平片（AXR）相比，其精确度更高。许多荟萃分析和叙述性综述已经证明了它们的实用性。高特异性和阳性预测值可使该工具成为坏死性小肠结肠炎这一可怕诊断的早期识别和及时手术干预的指导。

结论

腹部超声领域的新证据和专业知识将使其成为坏死性小肠结肠炎早期诊断和预后判断的有价值工具。

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3
Incidence, Treatment, and Outcome Trends of Necrotizing Enterocolitis in Preterm Infants: A Multicenter Cohort Study.
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Front Pediatr. 2020 May 13;8:188. doi: 10.3389/fped.2020.00188. eCollection 2020.
4
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Arch Dis Child Fetal Neonatal Ed. 2021 Jan;106(1):96-103. doi: 10.1136/archdischild-2019-318382. Epub 2020 May 12.
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Trends in incidence and outcomes of necrotizing enterocolitis over the last 12 years: A multicenter cohort analysis.过去 12 年中坏死性小肠结肠炎发病和结局的趋势：一项多中心队列分析。
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