超聲診斷和水壓灌腸治療小兒腸套疊

Ultrasound(US)diagnosis and US-guided hydrostatic reduction for intussusception in children

目的探討超聲診斷和超聲引導下水壓灌腸治療小兒急性腸套叠的方法和療效。方法對1047例可疑腸套叠患兒進行超聲檢查,發現有“同心圓”征而確診的患兒同時在超聲引導下進行水壓灌腸復位治療。結果超聲檢查發現“同心圓”征者41例,均確診為腸套疊,診斷準確率100%。其中37例水壓灌腸復位成功,復位成功率90.2%;4例復位失敗者改外科手術治療。結論超聲診斷小兒腸套疊準確率高,水壓灌腸復位成功率高,避免了X線對人體的影響。

Objective To investigate the method and therapeutic effect of US-guided hydrostatic reduction of intussusception in children.Methods 1047 children suspected with intussusception were examined by US,those diagnosed as intussusceptions with“classical US doughnut sign”further underwent US-guided hydrostatic reduction.Results 41 cases were diagnosed as intussusception by US(classical US doughnut sign).The diagnostic accuracy rate was 100%.Out of 41 intussusception cases 37cases(90.2%)had successful US-guided hydrostatic reduction.4 cases underwent surgery due to failed hydrostatic reduction.Conclusion US diagnosis of intussusception is reliable and accurate.Hydrostatic reduction success rate is higher in children intussusception and avoids the influence of X-rays on the human body.