小儿肠套叠空气灌肠复位成功后早期复发的相关因素分析

The relative factors analysis of early recurrence of ileocolic intussusception after successful air enema reduction

目的评估小儿肠套叠早期复发的发生率,探讨儿童肠套叠早期复发的相关诱发因素。方法回顾性分析2015年4月至2019年8月在本院确诊为肠套叠并行空气灌肠复位成功的225例患儿的临床资料,根据是否复发分为复发组(n=8)和未复发组(n=217)。对两组临床资料、影像等进行研究,并复习患儿超声及透视图像。结果复发组中,6例(75.0%)患儿在冬季出现早期复发;两组患儿年龄、发病季节比较差异有统计学意义(P<0.05),两组患儿性别比较差异无统计学意义;两组患儿临床症状比较差异均无统计学意义;两组患儿实验室指标及影像学资料比较差异无统计学意义。结论小儿肠套叠早期复发相对较少,复位后无需入院长期观察治疗,应根据临床情况进行个体化处理。

Objective To evaluate the incidence of early recurrence of intussusception in children,and to explore the related inducing factors of early recurrence of intussusception in children.Methods The clinical data of 225 children diagnosed with intussusception and successful reduction by air enema in our hospital fromApril 2015 to August 2019 were retrospectively analyzed,and they were divided into the recurrent group(n=8)and the non-recurrent group(n=217)according to whether had recurrence or not.The clinical data and images of the two groups were studied,and the sonographic and fluoroscopic images of the children were reviewed.Results In the recurrent group,6 children(75.0%)had early recurrence in winter.The difference in age and onset season between the two groups was statistically significant(P<0.05),while the difference in gender between the two groups was not statistically significant.There was no significant difference in the clinical symptoms between the two groups.There was no significant difference in the laboratory index and imaging data between the two groups.Conclusion The early recurrence of intussusception in children is relatively rare,and long-term observation and treatment are not required after reduction,which should be individualized according to the clinical situation.