超声引导下水压灌肠治疗儿童急性肠套叠的效果研究

doi:10.7517/issn.1674-0475.220119

摘要/Abstract

摘要： 本文探讨超声引导下水压灌肠治疗儿童急性肠套叠的效果及治疗失败的危险因素。选取在我院行超声引导下水压灌肠治疗的急性肠套叠患儿113例，分析复位成功情况，同时分析复位成功和失败患儿临床资料差异。复位失败患儿年龄小于复位成功患儿（P<0.05），复位失败患儿超声特征同心圆直径≥3 cm、套叠长度≥5 mm、套头位于横结肠及结肠脾区及以后、有套头分叶状、发病至入院时间≥12 h的比例及C反应蛋白（CRP）水平明显高于复位成功患儿（P<0.05）；Logistic回归分析结果显示，年龄、同心圆直径、套叠长度、套头位置、套头分叶状、发病至入院时间是超声引导下水压灌肠治疗复位失败的影响因素（P<0.05）。超声引导下水压灌肠治疗儿童急性肠套叠有较好的效果，其复位情况受患儿年龄、发病至入院时间、套头位置等多方面影响。

关键词: 超声引导下水压灌肠, 儿童, 急性肠套叠, 临床效果, 复位失败, 影响因素

Abstract: This paper investigated the effect and the risk factors for treatment failure of ultrasound-guided hydraulic enema in the treatment of acute intussusception in children. 113 children with acute intussusception underwent ultrasound-guided hydraulic enema in our hospital were selected to analyze the success of reduction, and the differences in clinical data between successful and failed reduction. Children with unsuccessful reduction were younger than those with successful reduction (P<0.05), The ultrasound characteristics of children with reduction failure were concentric circle diameter ≥ 3 cm, intussusception length ≥ 5 mm, cuff located in the transverse colon and colon and spleen area and beyond, lobulated cuff, the proportion of time from onset to admission ≥ 12 h, and C-reactive protein (CRP) level were significantly higher than those of children with successful reduction (P<0.05). Logistic regression analysis showed that age, diameter of concentric circles, length of intussusception, position of head, lobulated head, and time from onset to admission were the influencing factors for failure of reduction under ultrasound-guided hydraulic enema (P<0.05). Ultrasound-guided hydraulic enema has a good effect on the treatment of acute intussusception in children, and the reduction situation is affected by the age of the child, the time from onset to admission, and the position of the head.

Key words: ultrasound-guided hydraulic enema, children, acute intussusception, clinical effect, reset failed, influencing factor

郭建康, 柏艳红, 刘雅娜, 余果. 超声引导下水压灌肠治疗儿童急性肠套叠的效果研究[J]. 影像科学与光化学, 2022, 40(4): 878-882.

GUO Jiankang, BAI Yanhong, LIU Yana, YU Guo. Study on the Effect of Ultrasound-guided Hydraulic Enema in the Treatment of Acute Intussusception in Children[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 878-882.

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