摘要
目的探讨彩色多普勒超声在诊断小儿肠套叠（ITST）中的临床应用价值及对小儿肠套叠的治疗作用。方法将我院98例行B超及X线平片检查并经手术或灌肠确诊的ITST，按照数字表法随机分为两组，对照组49例给予x线下空气灌肠复位治疗；观察组49例给予超声监测下水压灌肠复位治疗，并比较两组的临床效果。结果B超诊断正确98例，符合率100．00％；观察组的复位成功率为93．88％，明显高于对照组的79．59％（P〈0．05），两组复位失败共13例占13．27％（13／98），后均行手术治疗成功；而观察组复位时间与对照组比较差异无统计学意义（P〉0．05）；观察组并发症发生率为0．00％，显著低于对照组的10．20％（P〈0．05），两组患儿均积极手术治疗并痊愈出院。结论B超诊断ITST准确性高、方法简便、迅速、无创伤、安全、疗效好、无辐射。B超不仅可作为诊断肠套叠的方法，而且可在实时超声图像的蛉视下讲行第付．日第仲率高．不良反府掂少．
Objective To explore the value and effect of color Doppler ultrasound in the diagnosis and treatment of children with intussusception. Methods 98 children with intussusception taking ultrasound and X-ray examination and confirmed by surgery or enema were randomly divided into a control group and an observation group, 49 cases for each group. The control group were treated with air enema by X-ray, and the observation group were given ultrasonic monitoring pressure enema treatment. The clinical effects were compared between these two groups. Results 98 cases were correctly diagnosed by ultrasound, with a coincidence rate of 100.00%. The reduction success rate was significantly higher in the observation group than in the control group （93.88% vs. 79.59%, P 〈 0.05）. 13 cases （13.27%）of all the patients failed in reduction and were successfully treated by surgery. There was no statistical difference in reduction time between these two groups （P 〉 0.05）. The incidence of complications rate was obviously lower in the the observation group than in the control group （0.00% vs. 10.20%, P 〈 0.05）. All the children were cured after active surgical treatment. Conclusions B ultrasound in the diagnosis of intussusception is highly accurate, simple, fast, noninvasive, and safe and has good curative effect and no radiation. B ultrasound can be used as a diagnosis method for intussusception and can be reset in real-time ultrasound image surveillance and has high reduction rate and fewer adverse reaction.
出处
《国际医药卫生导报》
2015年第15期2239-2242,共4页
International Medicine and Health Guidance News
关键词
小儿肠套叠
B超检查
X线检查
水压灌肠
治疗
Intussusception
B ultrasound examination
X-ray examination
Enema
Treatment
