Morrison S C, Jacobson J M
Department of Radiology, Rainbow Babies and Children's Hospital, Ohio, Cleveland.
Clin Perinatol. 1994 Jun;21(2):347-63.
Imaging of necrotizing enterocolitis is frustrating, with no single imaging test that is both sensitive and specific for the diagnosis. Early, nonspecific findings on plain abdominal films before development of pneumatosis intestinalis is enough evidence in the proper clinical setting to institute medical treatment of necrotizing enterocolitis. Subsequent development of pneumatosis intestinalis will help confirm the clinical diagnosis, but treatment should not be withheld for its development. Delayed complications of necrotizing enterocolitis can be diagnosed by contrast enema examinations, and ultrasound is a helpful additional test in equivocal cases.
坏死性小肠结肠炎的影像学检查令人沮丧，没有一种影像学检查对诊断既敏感又特异。在肠壁积气出现之前，腹部平片上早期的非特异性表现，在适当的临床背景下，足以作为对坏死性小肠结肠炎进行药物治疗的依据。随后出现的肠壁积气将有助于确诊，但不应因它的出现而延误治疗。坏死性小肠结肠炎的延迟并发症可通过灌肠造影检查来诊断，在不明确的病例中，超声是一种有用的辅助检查。
