Ultrasonic features for predicting outcomes of infant necrotizing enterocolitis after conservative treatments
10.13929/j.issn.1672-8475.2024.12.010
- VernacularTitle:超声特征预测婴儿坏死性小肠结肠炎保守治疗后转归
- Author:
Jie JIANG
1
;
Xun WANG
1
;
Xin ZHOU
1
;
Jun CHEN
1
;
Hao LIU
1
Author Information
1. 南京医科大学附属儿童医院超声科,江苏南京 210008
- Publication Type:Journal Article
- Keywords:
enterocolitis,necrotizing;
ultrasonography;
infant
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(12):772-776
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the feasibility of ultrasonic features(mesenteric thickening,hyperechogenic intestinal contents,abdominal wall edema and unclear intestinal wall structure)for predicting outcome of infant necrotizing enterocolitis(NEC)after conservative treatments.Methods A total of 379 infants with NEC were retrospectively collected and divided into group A(n=168,good outcome)and group B(n=211,poor outcome)according to outcomes after conservative treatments.Ultrasonic features were compared between groups,and the poor outcomes related ultrasonic risk factors after conservative treatments of infant NEC were analyzed by multivariate logistic regression.Results Four ultrasonic features of NEC were more common in group B than those in group A(all P＜0.001).The proportion of NEC with 3 to 4 ultrasonic features in group A(20.83％[35/168])was lower than that in group B(61.14％[129/211],x2=3.766,P＜0.005).Mesenteric thickening(OR=4.987),hyperechogenic intestinal contents(OR=4.176),abdominal wall edema(OR=5.165)and unclear intestinal wall structure(OR=5.021)were all independent risk factors for poor outcomes of infant NEC after conservative treatments(all P＜0.001).Conclusion Ultrasonic features could be used to predict outcomes of infant NEC after conservative treatments.
