小児急性虫垂炎の診断におけるバリウム注腸の臨床的意義

概要

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In this study, we discuss about the clinical value of enema as a diagnostic aid for appendicitis in children in the base of our experiences during recent 4 years and half. The candidate for barium enema was the patients who was considered not to have appendiceal perforation or which diagnosis was indistinct from other clinical data. Its findings were classified to five types. Type I is non-filling of appendix with cecal or ileal compression, Type 2 shows also non-filling of appendix, but no deformities on cecum or ileum in this type. Type 3 is partially filling appendix, type 4 is irregularly filling appendix and type 5 shows completely filled appendix to its tip. In type 2 and 3, there are so many false positive cases that we must be careful to decide the indication for operation. On the other hand, it was very diagnostic in type 1 and 5. Barium enema should be indicated when the diagnosis of appendicitis is uncertain.
特定非営利活動法人日本小児外科学会の論文
1988-06-20