- 期刊
- OpenAccess
小兒腸套疊的超聲診斷及治療價值
The value of ultrasonography monitoring in the diagnosis and the treatment of pediatric intussusception
摘要
目的：探討超聲在小兒腸套疊診斷及水灌腸復位治療腸套疊中的應用價值。方法：回顧性分析經超聲診斷的暫時性小兒腸套疊及回盲型（或結腸型）腸套疊的病例113例，其中超聲監視下水灌腸復位治療回盲型（或結腸型）腸套疊86例，總結小兒腸套疊超聲圖像特點及分析超聲監視下水灌腸復位治療的效果。結果：113例腸套疊中，小腸套疊19例，全部12小時內自行復位；回盲型（或結腸型）腸套疊94例，誤診4例，診斷正確的90例中經手術復位2例，麻醉後自行復位2例，超聲監視下水灌腸復位86例。結論：超聲可以作為診斷小兒腸套疊的首選方法；超聲監視下水灌腸復位可以作為治療小兒腸套疊的首選方法。
並列摘要
Objective: To explore the application value of ultrasound detection in the diagnosis of infantile intussusception and ultrasonic real-time monitoring in the reduction treatment of intussusceptions by using water pressure enema. Methods: 113 cases of temporary small intestine intussusception and ileoileocolic intussusception diagnosed by means of ultrasound detection were retrospectively analyzed, in which 86 cases of the reduction treatment of intussusception were performed by using water pressure enema under ultrasonic real-time monitoring. The characteristics of ultrasound image of the infantile intussusceptions and the effect of reduction treatment on intussusception with water pressure enema under ultrasonic realtime monitoring were summarized. Results: Of 113 cases of intussusception, there were 19 cases of small intestine intussusception, which were self reduced within 12 hours. There were 94 cases of ileoileocolic intussusception, including 4 cases were misdiagnosed and 90 cases were diagnosed accurately. In 90 cases of accurate diagnosed, except 2 cases of surgical reduction and2 cases of self reduced after anesthesia, others 86 cases were treated with water pressure enema reduction performed with ultrasound real-time monitoring. Conclusion: Ultrasound can be used as a preferred auxiliary diagnostic method in the diagnosis of the infantile intussusception. The water pressure enema reduction with ultrasonic real-time monitoring can be used as preferred method for the treatment of infantile intussusception.