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1990年以来,我院共收治肠套叠患儿156例,其中4～14岁患儿41例(26.3％)。术前明确诊断者仅6例,误诊率达85.4％(35/41),现分析报告如下。 1 临床资料 本组41例中,男性27例,女性14例;平均年龄9.5岁。发病时间到手术时间4小时至3个月。以典型的腹痛、腹部肿块和排粘液血便肠套叠“三联症”表现,并B超检查显示“靶环征”或“套筒征”而确诊的仅6例,占14.6％,24例患儿表现为其中两个症状,11例患儿仅表现为反复腹痛。体检发现腹块者17例
Since 1990, 156 cases of intussusception have been treated in our hospital, of which 41 cases (26.3%) were children aged 4 to 14 years old. Preoperative clear diagnosis of only 6 cases, misdiagnosis rate of 85.4% (35/41), the analysis report is as follows. 1 Clinical data The group of 41 cases, 27 males and 14 females; mean age 9.5 years. The onset time to operation time 4 hours to 3 months. Typical cases of abdominal pain, abdominal mass, and mucocutaneous bloody mesenteric intussusception were diagnosed as “triad” and only 6 cases (14.6%) were confirmed by B-mode ultrasonography and 24 cases were diagnosed as “target ring sign” or “sleeve sign” Children showed two symptoms, 11 children showed only recurrent abdominal pain. Physical examination found abdominal mass in 17 cases