| 摘要: |
| ［摘要］ 目的 总结B超引导下水压灌肠整复小儿肠套叠治疗的治疗体会。方法 对276例B超引导下水压灌肠整复小儿肠套叠整复前后患儿的临床资料及治疗效果进行分析。结果 复位前276例均有阵发性哭闹、呕吐、解果酱样血便表现,复位后症状消失245例；复位前腹部可触及异常包块245例，复位后包块消失240例；复位前276例B超均能探及腹部异常包块，复位后异常包块消失265例。碳剂试验267例（4～8 h后）排便有碳末263例，无碳末排出4例。B超诊断符合率100%,复位成功263例，复位成功率为95.3%。结论 B超引导下水压灌肠整复小儿肠套叠操作方便、复位成功率高，值得临床借鉴。 |
| 关键词: 肠套叠 超声检查 |
| DOI：10.3969/j.issn.1674-3806.2010.12.19 |
| 分类号:R 574.3 |
| 基金项目: |
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| The experience of ultrasound-guided water enema reduction for children intussusception |
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ZHOU Wei-mo,LI Qiang-hui,LONG Xue-feng
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Department of PDS,the Eighth Affiliated Hospital of Guangxi Medical University,Guigang 537100, China
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| Abstract: |
| ［Abstract］ Objective To summarize the treatment experience of ultrasound-guided water enema (USWE) for childhood intussusception.Methods USWE reduction was performed in 276 children with intussusception at the Eighth Affiliated Hospital of Guangxi Medical University between January 2004 and December 2009. The treatment effectiveness was analyzed according to clinical manifestation before and after USWE reduction.Results There were 276 cases who had paroxysmal crying, vomiting, and jam-like stool. In 245 cases symptoms disappeared after USWE reduction; 245 cases can be touched abnormal masses in the abdomen before reduction, and 240 cases disappeared after reduction; 276 cases were discovered the abdomen abnormal masses by ultrasound and 265 cases disappeared after reduction. Through carbon test(4～8 h after reduction) 263 cases can discharge carbon in stools, 4 cases did not discharged carbon. Ultrasound diagnostic accordance rate was 100%.The success rate of USWE was 95.3%(263 cases).Conclusion Ultrasound-guided water enema reduction for children intussusception has advantages of convenient operation and higher success rate and is worthy of clinical application. |
| Key words: Intussusception Ultrasonography |
