超声与X线诊断小儿肠套叠并在监视下进行灌肠治疗的疗效及安全性对比

Ultrasound vs X-ray for disease diagnosis and guiding enema treatment in infantile intussusception

目的探究、比较超声诊断与X射线诊断小儿肠套叠并在监视下进行灌肠治疗的疗效和安全性.方法选取2015-02/2016-07在广西医科大学第一附属医院收治的确诊为小儿肠套叠患者120例,分为超声组和X线组,每组60例.超声组在超声的监视下进行水压灌肠治疗,X线组在X线的监视下进行空气灌肠治疗,观察、比较2组的诊断效果、治疗效果以及术后的并发症情况.结果超声组的诊断正确率为96.67%,X线组的诊断正确率为85%.超声组高于X线组,差异有统计学意义(P<0.05).在手术治疗方面,超声组治疗的成功率为98.33%,X线组治疗的成功率为78.34%,超声组高于X线组,差异有统计学意义(P<0.05).超声组的不良反应并发症发生率为11.67%,X线组的不良反应并发症发生率为26.67%,超声组低于X线组,差异有统计学意义(P<0.05).结论超声在诊断及治疗小儿肠套叠方面优于X线.且超声无辐射,安全性也较好,因此,超声可以作为诊断和治疗小儿肠套叠的首选,具有重要的意义,值得临床推广应用.

AIM To compare ultrasound and X-ray in the diagnosis of infantile intussusception and in the monitoring of enema treatment. METHODS From February 2015 to July 2016, 120 children with intussusception treated at the First Affiliated Hospital of Guangxi Medical University were selected and divided into an ultrasound group and an X-ray group, with 60 cases in each group. Ultrasound-guided water enema reduction treatment was used in the ultrasound group, while X-ray-guided air enema treatment was applied in the X-ray group. The diagnostic and therapeutic effects and complications were compared between the two groups. RESULTS The diagnostic accuracy was significantly higher in the ultrasound group than in the X-ray group（96.67% vs 85%, P 〈 0.05）. The treatment success rate was also significantly higher in the ultrasound group than in the X-ray group（98.33% vs 78.34%, P 〈 0.05）. The rate of complications was significantly lower in the ultrasound group than in the X-ray group（11.67% vs 26.67%, P 〈 0.05）.CONCLUSION Ultrasound is better than X-ray in the diagnosis and treatment of infantile intussusception and has no radiation and better safety. Therefore, ultrasound can be the first choice in the diagnosis and treatment of infantile intussusception.