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目的探讨超声对小儿肠套叠的诊疗价值。方法对经确诊并在超声下加压水灌肠复位的67例肠套叠患儿的临床资料进行回顾性分析。结果 67例肠套叠患儿均经超声检查明确诊断,诊断符合率100%;61例在超声下加压水灌肠复位成功,复位率91.1%。其中起病在16 h之内确诊,复位时间短,复位率100%;起病在16~24 h确诊者,复位时间延长,复位率91.3%;起病在24~48 h者,复位时间明显延长,复位率71.4%;起病超过48 h,患儿一般情况较差,均选择手术复位。结论超声诊治小儿肠套叠应越早越好,超声下加压水灌肠复位是诊治小儿肠套叠的首选方法。
Objective To investigate the diagnosis and treatment of intussusception in children. Methods The clinical data of 67 intussusception cases diagnosed and treated with ultrasound under pressurized water enema were retrospectively analyzed. Results 67 cases of intussusception in children were diagnosed by ultrasonography, diagnosis of coincidence rate of 100%; 61 cases of ultrasound enema under water pressure reduction, the reduction rate of 91.1%. Among them, the onset was diagnosed within 16 hours, with a short reset time and a 100% reduction rate. The patients diagnosed within 16-24 hours were diagnosed with prolonged reduction and a reduction rate of 91.3%. The onset time was significantly lower in 24-48 hours Extended, the reduction rate of 71.4%; onset more than 48 h, poor general condition in children, are to choose surgical reduction. Conclusion Ultrasound diagnosis and treatment of children with intussusception should be as early as possible, ultrasound pressurized water enema reduction is the preferred method of diagnosis and treatment of children with intussusception.