超声诊断小儿肠套叠与透视下空气灌肠复位的随诊分析
超声诊断,,肠套叠；超声；透视下空气灌肠复位,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 对小儿肠套叠透视下空气灌肠复位进行随诊分析，并与超声检查结果对比，试图说明超声检查在小儿肠套叠诊断中的优越性及对空气灌肠复位的指导意义。方法 收集我院2005年7月～2006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≤12h、12～24h、>24h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%、98.0%及78.9%，超声所测套入部长度与空气灌肠平均复位压力及发病时间成正比。结论 超声对肠套叠可做到早期诊断，不仅能得出部位、血运等多方面的结论，还可通过超声测量套入部长度，对空气灌肠的风险做出评价，并对整复压力的估计有重要指导作用。【关键词】 肠套叠；超声；透视下空气灌肠复位
Follow up analysis of intussusception diagnosed by ultrasound and air enema
QI Ting-yue,SUN Hong-guang,ZHANG Wen.Department of Ultrasonography,Yangzhou First Peoples Hospital,Yangzhou 225001,China
【Abstract】 Objective Compared with air enema,to explore merit of ultrasound diagnosis of intussusception and the significance of guidance to air enema.Methods 113 children diagnosed by ultrasound and air enema reduction successfully were retrospectively analyzed.The patients were grouped by history of intussusception(≤12h，12～24h，≥24h).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 points 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 points depth of intussusception,the risk of air enema could be evaluated and to estimate the pressure of air enema. ......
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