戚庭月,孙红光,张文.超声诊断小儿肠套叠与透视下空气灌肠复位的随诊分析[J].中国医学影像技术,2008,24(s1):129~131
超声诊断小儿肠套叠与透视下空气灌肠复位的随诊分析
Follow-up analysis of intussusception diagnosed by ultrasound and air enema
投稿时间:2008-05-14  修订日期:2008-07-28
DOI:
中文关键词:  肠套叠  超声检查  空气灌肠
英文关键词:Intussusception  Ultrasonography  Air enema
基金项目:
作者单位E-mail
戚庭月 扬州市第一人民医院超声科,江苏 扬州 225001  
孙红光 扬州市第一人民医院超声科,江苏 扬州 225001 yzshg@163.com 
张文 扬州市第一人民医院超声科,江苏 扬州 225001  
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中文摘要:
      目的 通过对小儿肠套叠患者行透视下空气灌肠检查及复位治疗,并与超声检查结果相对比,评价超声检查在小儿肠套叠诊断中的应用价值。方法 收集我院2006年7月—2008年1月经超声诊断并在透视下空气灌肠复位治疗成功的113例患者资料,按发病时间分为<12 h、12~24 h、>24 h三组,分别记录各组平均套入部长度及空气灌肠复位平均压力,进行对照研究。结果 在诊断肠套叠部位上超声与透视下空气灌肠所见按回盲部、升结肠至肝曲、肝曲远端分组,诊断符合率分别为89.6%、
英文摘要:
      Objective Compared with air enema, to explore merit of ultrasound diagnosis of intussusception and the significance of guidance to air enema. Methods Total 113 children diagnosed by ultrasound and air enema reduction successfully were retrospectively analyzed. The patients were grouped by history of intussusception (<12 h,12-24 h,>24 h). The mean depth of lead points and pressure of air enema were calculated, and relationships between them were analyzed. Results In aspect of level diagnosis, the coincidence between ultrasound and air enema was 89.6% (ileocecal junction), 98.0% (ascending colon and hepatic flexure) and 87.9% (transverse colon) respectively. The lead point’s depth of intussusception measured by ultrasound and pressure of air enema were positive correlation. Conclusion Ultrasound could diagnosed intussusception early and provided information of location and circulation. Furthermore, by ultrasound measuring lead point’s depth of intussusception, the risk of air enema could be evaluated and to estimate the pressure of air enema.
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