B超引导下水压灌肠治疗小儿肠套叠的研究

Ultrasound guided hydrostatic enema in the treatment of pediatric intussusception

目的探讨B超引导下水压灌肠治疗小儿肠套叠的临床治疗效果及应用价值。方法选择小儿肠套叠患者128例,随机分为观察组和对照组,对照组给予X线下空气灌肠复位治疗,观察组给予超声监测下水压灌肠复位治疗,比较两组临床治疗效果。结果观察组患儿复位成功率为93.75%,对照组患儿复位成功率为81.25%,两组复位成功率比较,差异有显著性意义(P<0.05)。观察组患儿有2例出现肠穿孔,对照组患儿有1例出现肠穿孔,两组患儿不良反应发生率比较,差异无显著性意义(P>0.05)。结论采用超声引导下进行水压灌肠治疗小儿肠套叠,复位率高,不良反应较少,值得在临床上大力推广使用。

Objective To study the effect and application value of ultrasound guided hydrostatic enema in the treatment of pediatric intussusception .Methods The 128 cases of pediatric intussusception were randomly divided into observation group and control group .The control group received X -ray guided air enema reduction; and the observation group was treated with ultrasound guided hydrostatic enema .The treatment effects were compared .Results The observation group had a re-duction success rate 93.75%, which was significant improved （P＆lt;0.05） from 81.25%success rate in the control group . Two patients in the observed group were complicated by intestinal perforation , which was also noted in one patient in the control group.There was no significant difference in the rate of adverse reactions between the two groups （P＆gt;0.05）. Conclusion Ultrasonic guided hydrostatic enema has a high reduction rate , few adverse reactions in the treatment of pediat-ric intussusception , and is worth promoting in clinical use .