小儿肠套叠超声表现与水压灌肠复位成败的相关性分析

• 作 者: 赵笛然 李成 罗培 何糠
• 机 构: 德阳市人民医院超声医学科,四川 德阳 618000;德阳市人民医院超声医学科,四川 德阳 618000;德阳市人民医院超声医学科,四川 德阳 618000;德阳市人民医院超声医学科,四川 德阳 618
• 出 处: 健康必读
• 发表日期: 2022年3期
• 关键词: children Intussusception Ultrasonic findings Hydraulic enema Reset success or fa

目的:分析小儿肠套叠超声表现与水压灌肠复位成败的相关性情况.方法:选取小儿肠套叠患儿200例,收集这些患儿的完整临床病历资料,并且划分成两个组别,一组是复位成功组,另一组是复位失败组,分别具有患儿170例、30例.将这两组的超声表现等进行观察,并且实施logistic回归分析水压灌肠复位的影响因素.结果:据统计在两组内,存在明显差异性的指标包括有无血便、发病时间、盆腔积液和肠套叠位置、血流分布、同心圆宽径、同心圆厚径、套鞘厚径、套入长度,P ＜ 0.05;进行logistic回归分析,结果表明影响到水压灌“,”Objective: To analyze the correlation between ultrasonic manifestations of intussusception in children and the success or failure of hydraulic enema reduction. Methods: 200 children with intussusception were selected. The complete clinical medical records of these children were collected and divided into two groups. One group was the successful reduction group and the other group was the failure reduction group, with 170 and 30 children respectively. The ultrasonic manifestations of the two groups were observed, and the influencing factors of hydraulic enema reduction were analyzed by logistic regression. Results: According to statistics, there were significant differences between the two groups, including bloody stool, time of onset, pelvic effusion and intussusception position, blood flow distribution, concentric circle width diameter, concentric circle thickness diameter, sheath thickness diameter and intussusception length, P＜0.05; Logistic regression analysis showed that the independent factors affecting the success or failure of hydraulic enema reduction were four aspects, namely concentric circle width, bloody stool, onset time and sleeve length, P＜0.05. Conclusion: Ultrasonic multi index combined with clinical data can actively predict the results of hydraulic enema reduction and maintain the treatment safety and effectiveness of children. It is a scheme that can be popularized and used.