[Value of radiographic assessment scale in necrotizing enterocolitis].
Zhongguo Dang Dai Er Ke Za Zhi
; 14(2): 97-100, 2012 Feb.
Article
em Zh
| MEDLINE
| ID: mdl-22357464
OBJECTIVE: This study was conducted to determine the value of the radiographic assessment scale in the diagnosis of neonatal necrotizing enterocolitis, and as measured by need for surgery. METHODS: A total of 61 neonates were classified into three groups according to the Bell's Staging Criteria: NECâ
(n=25), NECâ
¡(n=11) and NEC â
¢(n=25). Data on gestational age at birth, gender, birth weight, clinical manifestations, treatment and prognosis of the patients were collected. Radiographic assessment scale scores were evaluated by a pediatric radiologist. RESULTS: Radiographic assessment scale scores in the NECâ
, NECâ
¡and NEC â
¢ groups were 3.2±1.4, 5.3±1.7 and 8.9±1.7, respectively (P<0.05). The score was highest in the NEC â
¢ group and lowest in the NECâ
group. Based on the different therapies, the NEC â
¢ group was subdivided into operative and non-operative groups. Radiographic assessment scale scores in the two subgroups were 8.71±1.86 and 9.36±1.21 respectively (P>0.05). Radiographic assessment scale scores in neonates with intestinal perforation (9.6±1.1) were higher than in those with intestinal necrosis (6.8±1.8) (P<0.05). The majority of patients (80%) who underwent operation had radiographic assessment scale scores above 7. The effective rate was 96% and 64% respectively in the NECâ
and the NECâ
¡ groups. Of the children in the NECâ
¢ group, the cure rate was 71% in the operative group, and the effective rate was 9% in the non-operative group. CONCLUSIONS: The radiographic assessment scale may be used to evaluate the severity of disease in neonates with NEC. Patients with a score on the radiographic assessment scale above 7 have indications for surgical intervention and have better short-term treatment response rates.
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Base de dados:
MEDLINE
Assunto principal:
Enterocolite Necrosante
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
Zh
Ano de publicação:
2012
Tipo de documento:
Article