小儿肠套叠影像学诊治进展(3)
总之，对于小儿肠套叠，应首选B超检查，B超发现肠套叠后，应用数字化X线机作空气灌肠或B超监控下水压灌肠，达到进一步明确诊断和治疗的目的。CT和电子肠镜可作为补充的检查方法，腹腔镜下与空气灌肠并用，解决难复性肠套叠可选择性应用。CDFI以及螺旋CT增强扫描是确定肠套叠及伴肠坏死的有效检查方法。
参考文献
[1]杨锡强，易著文.儿科学.第6版.北京：人民出版社，2005：287-290.
[2]靳园园，王建峰，王琳.小儿急性肠套叠细菌移位及L211变化的临床意义.中国现代药物应用，2010，3(4)：61-63.
[3]Hooker RL，Hernanz-Schulman M，Yu C,et al. Radiographic evaluation of intussusception: utility of leftside-down decubitus view. Radiology，2008，248(3)：987-994.
, http://www.100md.com
[4]李宏吉，主译.实用小儿放射学.西安：陕西科学技术出版社，1990：192-197.
[5]Kuskonmaz B,Yurdakok K,Yalcin SS. Comparison of acute bloody and watery diarrhea: a case control study. Turk J Pe2 diatr,2009,51(2):133-140.
[6]Awasthi S, Agarwal GG, Mishra V. Four2country surveillance of intestinal intussusception and diarrhoea in children.Paediatr Child Health, 2009, 45(3): 82-86.
[7]孙静涛，段雨，张金辉，等，B超、X线诊断及其引导下整复小儿肠套叠的对比分析.中国误诊学杂志，2009，9(16)：3811-3812.
, http://www.100md.com
[8]David J,Lane F. Frequuency of right lower quadrant position of the sigmoid colon in infants and young children. radiology,2001,(219):91-94.
[9]Park N H, Park SI, Park CS,et al.UItrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception. Br J Radiol, 2007, 80: 798-802.
[10]Ahmet Kazez, S.Kerem Ozel, Ercan Kocakoc, et al.Double In tussusception in a child, The triple circle sign. Joumal Ultrasound in Medicine， 2004, 23: 1659-1661.
, http://www.100md.com
[11]陈建荣，厉挺，马校军，等，高频超声显像在小儿肠套叠诊断和灌肠复位治疗中的价值.中国超声医学杂志，2005，21(3)：205-207.
[12]Britton I, Wilkinson A G. UItrasound features of intussusception predicting outcome of air enema.Pediatr Radiol, 1999,29: 705-710.
[13]Martha M, Ohn F, Brian D,et al.Sonoraphy of pediatric small 2 bowel intussusception:differentiating surgical from nonsurgical cases.AJR, 2007,188: 275-279.
[14]潘未未.小儿肠套叠66例分析.上海预防医学杂志，2008，20(12)：606.
, http://www.100md.com
[15]罗利文.二维及彩色多普勒超声对小儿肠套叠76例诊断价值.广西医学，2010，8(32)：1019-1020.
[16]Hryhorczuk AL, Strouse PJ. Validation of U S as a first2line diag2 nostic test for assessment of pediatric ileocolic intussusception.Pediatr Radiol,2009,39(10): 1075-1079.
[17]毛中美，周晓兵.187例小儿肠套叠临床分析.中国医师杂志，2009，1(8)：1079-1080.
[18]Park SB, Ha HK, Kim AY, et al. The diagnostic role of abdominal CT imaging findings in adults intussusception: focused on the vascular compromise.Eur J Radiol, 2007,62(3): 406-415.
, 百拇医药
[19]李迎春，宋彬，印隆林，等.16层螺旋CT多平面重建技术对肠梗阻的诊断价值.中国普外基础与临床杂志，2006，31(9)：680.
[20]黄春芹，方华盛，林信，等，应用Folry管空气压力灌肠辅以手法按摩整复肠套叠.广西医学，2005，27(4)：568-569.
[21]刘杭，高长忠.简易空气灌肠器与电脑遥控灌肠整复仪在小儿肠套叠整复中的应用评价.中国实用医药，2010,10(5): 268-269.
[22]李庆丰，雷淑琴，杨忠刚，等.电脑遥控灌肠整复仪治疗小儿肠套叠320例分析.中国误诊学杂志，2010,12(10)：8453-8454.
[23]Vokurka J, Olejnik J Jedlicka V. Acute mesenteric ischemia.Hepatogastroenterology, 2008,55(85): 1349-1352.
, 百拇医药
[24]Sandier AD, Ein SH,Connolly B, et al. Unsuccessful air-enema reduction of intussusception : is a second attempt worthwhile.Pediatr Surg Int, 1999,15(3):214-216.
[25]Kimberly E.Clinically Suspected Intussusception in Children: Evi2 denc2c Based Review and Self2Assessment Module.AJR, 2005: 175-183.
[26]Bani Hani MN, AIWaqfi NR, Heis HA. ejunal disorders: poten2e tially lethal causes of acute abdomen are still overlooked.Surg Laparosc Endosc Percutan Teeh, 2009,19(1): 39-42.
, 百拇医药
[27]Fraser JD, Aguayo P, Ho B,et al.Laparoscop ic management of intussusception in pediatric patients J Iaparoendosc A dv Surg Tech A,2009,19(4): 563-565.
[28]马少锋，曹志清，陈江谊.腹腔镜下治疗小儿难复性肠套叠.中国微创外科杂志，2010，8(10)：739-740.
[29]Chang YT, Lee JY, Wang JY. Early laparoscopy for ileocolic in2 tussusception with multiple recurrences in children.Surg En2 dosc, 2009,23(9): 2001-2004.
[30]Crystal P, Hertzanu Y, Farber B, et al.Sonographically guided hydrostatic reducdion of intussusception in children.J Clin UItrasound, 2002, 30(6): 343-348.
[31]于飞,夏禹.肠套叠的超声诊断价值.中国医学创新，2010，7(4):153-154.
[32]谈帅，姚鹏浩，何丽.小肠肿瘤致广泛肠套叠并肠坏死1例.中国医学创新，2010，7(5):194-194., 百拇医药(庞恩文)
参考文献
[1]杨锡强，易著文.儿科学.第6版.北京：人民出版社，2005：287-290.
[2]靳园园，王建峰，王琳.小儿急性肠套叠细菌移位及L211变化的临床意义.中国现代药物应用，2010，3(4)：61-63.
[3]Hooker RL，Hernanz-Schulman M，Yu C,et al. Radiographic evaluation of intussusception: utility of leftside-down decubitus view. Radiology，2008，248(3)：987-994.
, http://www.100md.com
[4]李宏吉，主译.实用小儿放射学.西安：陕西科学技术出版社，1990：192-197.
[5]Kuskonmaz B,Yurdakok K,Yalcin SS. Comparison of acute bloody and watery diarrhea: a case control study. Turk J Pe2 diatr,2009,51(2):133-140.
[6]Awasthi S, Agarwal GG, Mishra V. Four2country surveillance of intestinal intussusception and diarrhoea in children.Paediatr Child Health, 2009, 45(3): 82-86.
[7]孙静涛，段雨，张金辉，等，B超、X线诊断及其引导下整复小儿肠套叠的对比分析.中国误诊学杂志，2009，9(16)：3811-3812.
, http://www.100md.com
[8]David J,Lane F. Frequuency of right lower quadrant position of the sigmoid colon in infants and young children. radiology,2001,(219):91-94.
[9]Park N H, Park SI, Park CS,et al.UItrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception. Br J Radiol, 2007, 80: 798-802.
[10]Ahmet Kazez, S.Kerem Ozel, Ercan Kocakoc, et al.Double In tussusception in a child, The triple circle sign. Joumal Ultrasound in Medicine， 2004, 23: 1659-1661.
, http://www.100md.com
[11]陈建荣，厉挺，马校军，等，高频超声显像在小儿肠套叠诊断和灌肠复位治疗中的价值.中国超声医学杂志，2005，21(3)：205-207.
[12]Britton I, Wilkinson A G. UItrasound features of intussusception predicting outcome of air enema.Pediatr Radiol, 1999,29: 705-710.
[13]Martha M, Ohn F, Brian D,et al.Sonoraphy of pediatric small 2 bowel intussusception:differentiating surgical from nonsurgical cases.AJR, 2007,188: 275-279.
[14]潘未未.小儿肠套叠66例分析.上海预防医学杂志，2008，20(12)：606.
, http://www.100md.com
[15]罗利文.二维及彩色多普勒超声对小儿肠套叠76例诊断价值.广西医学，2010，8(32)：1019-1020.
[16]Hryhorczuk AL, Strouse PJ. Validation of U S as a first2line diag2 nostic test for assessment of pediatric ileocolic intussusception.Pediatr Radiol,2009,39(10): 1075-1079.
[17]毛中美，周晓兵.187例小儿肠套叠临床分析.中国医师杂志，2009，1(8)：1079-1080.
[18]Park SB, Ha HK, Kim AY, et al. The diagnostic role of abdominal CT imaging findings in adults intussusception: focused on the vascular compromise.Eur J Radiol, 2007,62(3): 406-415.
, 百拇医药
[19]李迎春，宋彬，印隆林，等.16层螺旋CT多平面重建技术对肠梗阻的诊断价值.中国普外基础与临床杂志，2006，31(9)：680.
[20]黄春芹，方华盛，林信，等，应用Folry管空气压力灌肠辅以手法按摩整复肠套叠.广西医学，2005，27(4)：568-569.
[21]刘杭，高长忠.简易空气灌肠器与电脑遥控灌肠整复仪在小儿肠套叠整复中的应用评价.中国实用医药，2010,10(5): 268-269.
[22]李庆丰，雷淑琴，杨忠刚，等.电脑遥控灌肠整复仪治疗小儿肠套叠320例分析.中国误诊学杂志，2010,12(10)：8453-8454.
[23]Vokurka J, Olejnik J Jedlicka V. Acute mesenteric ischemia.Hepatogastroenterology, 2008,55(85): 1349-1352.
, 百拇医药
[24]Sandier AD, Ein SH,Connolly B, et al. Unsuccessful air-enema reduction of intussusception : is a second attempt worthwhile.Pediatr Surg Int, 1999,15(3):214-216.
[25]Kimberly E.Clinically Suspected Intussusception in Children: Evi2 denc2c Based Review and Self2Assessment Module.AJR, 2005: 175-183.
[26]Bani Hani MN, AIWaqfi NR, Heis HA. ejunal disorders: poten2e tially lethal causes of acute abdomen are still overlooked.Surg Laparosc Endosc Percutan Teeh, 2009,19(1): 39-42.
, 百拇医药
[27]Fraser JD, Aguayo P, Ho B,et al.Laparoscop ic management of intussusception in pediatric patients J Iaparoendosc A dv Surg Tech A,2009,19(4): 563-565.
[28]马少锋，曹志清，陈江谊.腹腔镜下治疗小儿难复性肠套叠.中国微创外科杂志，2010，8(10)：739-740.
[29]Chang YT, Lee JY, Wang JY. Early laparoscopy for ileocolic in2 tussusception with multiple recurrences in children.Surg En2 dosc, 2009,23(9): 2001-2004.
[30]Crystal P, Hertzanu Y, Farber B, et al.Sonographically guided hydrostatic reducdion of intussusception in children.J Clin UItrasound, 2002, 30(6): 343-348.
[31]于飞,夏禹.肠套叠的超声诊断价值.中国医学创新，2010，7(4):153-154.
[32]谈帅，姚鹏浩，何丽.小肠肿瘤致广泛肠套叠并肠坏死1例.中国医学创新，2010，7(5):194-194., 百拇医药(庞恩文)