Study on the Effect of Ultrasound-guided Hydraulic Enema in the Treatment of Acute Intussusception in Children

doi:10.7517/issn.1674-0475.220119

Abstract

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

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.

References

[1] Marjon L, Hull N, Thomas K. Concurrent acute appendicitis and ileocolic intussusception in a 1-year-old child[J]. Radiology Case Reports, 2018,13(3):655-657.
[2] Tong D, Zhang L X. Diagnostic ideas and value research of emergency color Doppler ultrasound in children with acute intussusception[J]. Journal of Imaging Research and Medical Applications, 2018,2(8):192-195.
[3] Shen G, Zhang C G, Li J F, et al. Risk factors for short-term recurrent intussusception and reduction failure after ultrasound-guided saline enema[J]. Pediatric Surgery International, 2018,34(7):1-7.
[4] Lim R, Lee T, Ng J, et al. Factors associated with ultrasound-guided water enema reduction for pediatric intussusception in resource-limited setting:potential predictive role of thrombocytosis and anemia[J]. Journal of Pediatric Surgery, 2018,53(11):2312-2317.
[5] 吴维佳, 张晓蓉. 彩色多普勒超声在诊断小儿肠套叠中的应用价值分析[J]. 现代消化及介入诊疗, 2018,7(1):40-41.
[6] 李俊峰, 管哲明, 杜浩文, 等. B超引导下水灌肠治疗小儿肠套叠整复成功率与水压值的相关性分析[J]. 解放军医学院学报, 2020,41(1):53-55, 69.
[7] 蔡威, 孙宁, 魏光辉. 小儿外科学[M]. 北京:人民卫生出版社, 2014.
[8] Guo Y C, Liu B, Pan Z W, et al. Acute duodenal obstruction secondary to intussusception caused by the duodenal diverticulum:A case report[J]. BMC Gastroenterology, 2020,20(1):234-237.
[9] 张超群, 王彦. 超声引导水压灌肠与X线空气灌肠治疗小儿肠套叠的对比研究[J]. 现代医用影像学, 2017,26(2):500-501.
[10] 丁通, 张良西. 急诊彩色多普勒超声对小儿急性肠套叠的诊断思路与价值研究[J]. 影像研究与医学应用, 2018,2(8):192-195.
[11] 邓建国, 陈志权, 李东平. 超声监视下水压灌肠与X射线下空气灌肠治疗小儿肠套叠的效果比较[J]. 包头医学院学报, 2018,34(1):33-34, 82.
[12] 李晓晖, 杨柳, 张艳艳. 彩色多普勒超声检查对小儿常见急腹征的诊断价值[J]. 实用临床医药杂志, 2020,24(21):34-36,40.
[13] 胡蕾, 叶显俊, 朱宇飞, 等. 超声引导下水压灌肠治疗小儿肠套叠后复发危险因素[J]. 中国介入影像与治疗学, 2020,17(8):484-488.
[14] 刘峰, 陈霞, 吴洁, 等. 小儿肠套叠同心圆大小与水压灌肠复位的关系[J]. 贵州医药, 2016,5(5):542-543.
[15] 杨合英, 王冠涛, 李延安, 等. 水压灌肠复位治疗原发性肠套叠的有效性及安全性分析[J]. 中华普通外科杂志, 2021,36(2):143-144.
[16] 李璐璐, 孙厚坦, 赵威武, 等. 超声监视下温盐水灌肠复位治疗小儿肠套叠效果观察[J]. 西北国防医学杂志, 2018,39(4):259-262.
[17] 汪登亮, 康权, 王浩名, 等. 超声引导下新型水灌肠仪器灌肠与传统空气灌肠治疗小儿肠套叠的有效性及安全性研究[J]. 中国全科医学, 2019,22(6):99-101.
[18] 刘峰, 吴洁, 孙倩, 等. 超声联合相关因素预测小儿肠套叠水压灌肠复位成败的价值评估[J]. 中国超声医学杂志, 2018,331(5):431-434.
[19] 喻祥旺, 门殿伟. 超声引导下水压灌肠对小儿肠套叠的治疗效果探析[J]. 世界最新医学信息文摘(电子版), 2018,18(81):157-157.