摘要
目的分析B超引导下水灌肠治疗小儿肠套叠水压值与整复成功率之间的关系。方法回顾性分析潍坊市人民医院2015年9月-2017年12月收治的454例小儿肠套叠的临床资料。包括性别、年龄、发病时间、套叠长度、水灌肠整复成功时的水压力值、整复成功率等。结果本研究共纳入患儿454例,整复成功452例,整复成功率达到99.3%。整复未成功2例,中转手术探查,麦克尔憩室1例,回盲部淋巴瘤1例。当水压值为7 ~ 9 kPa时肠套叠整复成功49例,占总例数的10.9%;当水压值为9.1 ~ 11 kPa时肠套叠整复成功61例,占13.5%;当水压值为11.1 ~ 13 kPa时肠套叠整复307例,占总例数的67.9%;水压值为13.1 ~ 15 kPa时,肠套叠整复成功35例,占总例数的7.7%。结论 B超引导下水灌肠治疗小儿肠套叠安全可行,当水压值为11.1 ~ 13 kPa时,整复成功率最高且未见并发症。
Objective To analyze the correlation between water pressure and the success rate of B-ultrasound guided hydrostatic enema of intussusception in children.Methods Clinical data about 454 cases with intussusception admitted to Weifang People’s Hospital from September 2015 to December 2017 were retrospectively analyzed,including gender,age,time of onset,length of sleeve,water pressure and success rate of hydrostatic enema.Results Of the 454 cases,intussusception reduction was performed successfully in 452 cases with the success rate of 99.3%.Two cases failed,including one case with Michael’s diverticulum and one case with ileocecal lymphoma.The successful rate of intussusception reduction was 10.9% (49) at a pressure of 7-9 kPa,13.5% (61) at a pressure of 9.1-11 kPa;67.9% (307) at a pressure of 11.1-13 kPa,and 7.7% (35) at a pressure of 13.1-15 kPa.Conclusion The B-ultrasound guided hydrostatic enema is effective and safe for intussusception in children,and the success rate is the highest when the water pressure ranging from 11.1 to 13 kPa,without any complications.
作者
李俊峰
管哲明
杜浩文
刘传阳
胡强
LI Junfeng;GUAN Zheming;DU Haowen;LIU Chuanyang;HU Qiang(Department of Pediatric Surgery,Weifang People's Hospital,Weifang 261041,Shandong Province,China;Weifang Medical University,Weifang 261053,Shandong Province,China)
出处
《解放军医学院学报》
CAS
2020年第1期53-55,69,共4页
Academic Journal of Chinese PLA Medical School
基金
潍坊市卫生计生委科研项目(2017wsjs046)
潍坊市科技发展计划项目任务书(医学类)(2016YX001).
关键词
小儿
水灌肠
肠套叠
整复成功率
水压值
child
water enema
intussusception
success rate of correction
water pressure value
