| 张尧,李士星,任卫东,刘守君.小肠套叠合并壁内或浆膜下积气是手术指征？[J].中国医学影像技术,2011,27(8):1614~1616 |
| 小肠套叠合并壁内或浆膜下积气是手术指征？ |
| Intramural or subserosal gas in small bowel intussusceptions: Indications for surgery？ |
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| DOI： |
| 中文关键词: 小肠套叠 超声检查 恢复性 浆膜下积气 壁内积气 |
| 英文关键词:Small bowel intussusception Ultrasonography Reducibility Subserosal gas Intramural gas |
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| 中文摘要: |
| 目的 探讨合并壁内或浆膜下积气的小肠套叠的发生率及其与灌肠复位成功率的关系。 方法 回顾性分析我院34例经超声诊断为小肠套叠患儿的资料,观察其超声表现。 结果 在超声诊断的34例小肠套叠中,23例(67.65%)经保守治疗或超声引导下水压灌肠后恢复,11例(32.35%)未恢复而采取手术治疗。10例(29.41%)超声声像图可见壁内积气,12例(35.29%)可见浆膜下积气,其中因不可恢复而接受手术治疗者分别为7例(7/10,70.00%)、8例(8/12,66.67%)。与无积气者比较,存在壁内或浆膜下积气的肠套叠患儿经保守治疗后恢复的比例较低(P<0.05)。 结论 对于小肠套叠患儿,超声检查中发现存在壁内或浆膜下积气提示保守治疗或灌肠复位的成功率较低,需要手术治疗。 |
| 英文摘要: |
| Objective To observe the presence of intramural or subserosal gas in small bowel intussusception, and to evaluate their correlation with successful reducibility. Methods Ultrasonic findings of 34 patients with small bowel intussusception were retrospectively reviewed and analyzed. Results Among 34 patients with small bowel intussusceptions, successful reducibility was obtained in 23 patients (67.65%) by conservative treatment or ultrasound guided hydrostatic reduction, in 11 (32.35%) by surgical treatment. In 10 patients with intramural gas, conservative treatment or ultrasound guided hydrostatic reduction failed in 7 (7/10, 70.00%), while in 12 intussusceptions with subserosal gas, conservative treatment or ultrasound guided hydrostatic reduction failed in 8 (8/12, 66.67%) patients, and surgical treatment was performed and succeeded in these 15 patients. The presence of intramural or subserosal gas predicted a lower chance of reduction by conservative treatment or ultrasound guided hydrostatic reduction (P<0.05). Conclusion The presence of intramural or subserosal gas in patients with small bowel intussusception significantly decreased the chance of reduction by conservative treatment or ultrasound guided hydrostatic reduction, indicating the necessity of surgical operation. |
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