B超诊断小儿肠套叠及其监视下行水压灌肠治疗的应用效果  

B ultrasound in the diagnosis of infantile intussusception and its application effect under the monitor of hydraulic pressure enema treatment

作　　者：邓懋恩 杨银广[1,2] 陈丽珍[1,2] 黄祯[1,2] 郭天畅 朱晓锋[1,2] 叶文卫[1,2] 

机构地区：[1]广东省东莞市第三人民医院 [2]广东省东莞市石龙人民医院功能检查科,广东东莞523326

出　　处：《中国当代医药》2014年第30期166-168,共3页China Modern Medicine

基　　金：广东省东莞市医疗卫生科技计划一般项目(东科[2014]104号227)

摘　　要：目的探究B超诊断小儿肠套叠并在监视下进行水压灌肠治疗的临床价值。方法选取在本院进行治疗的肠套叠患儿90例,分为观察组和对照组,每组45例,两组患儿均经B超诊断为肠套叠,然后观察组应用B超监视下行水压灌肠治疗,而对照组应用X线监视下进行空气灌肠治疗,记录B超检查小儿肠套叠的有效性,并比较两组患儿的治疗成功率。结果本组90例B超诊断为肠套叠的患儿,确诊率为100%。观察组复位成功率为93.33%,对照组复位成功率为77.78%,差异有统计学意义(P<0.05)。观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对于肠套叠的患儿来说,应用B超进行诊断确诊率高,且无辐射,并在B超引导下进行水压灌注整复,成功率高,具有重要的临床应用价值。Objective To explore B ultrasound in the diagnosis of infantile intussusception and its the clinical value under the monitor of hydraulic pressure enema treatment. Methods 90 children with intussusceptions in our hospital were selected and divided into observation group and control group,45 cases in each group.Children of two groups were diagnosed with intussusception by B ultrasound.B ultrasound-guided water enema reduction treatment was used in ob-servation group,while X-ray-guided air enema treatment was applied in control group.The effectiveness of B ultrasound examination on infantile intussusception was recorded.The success rate of treatment in two groups was compared. Re-sults The diagnosis rate with B ultrasound was 100%.The success rate of reset in observation group was 93.33%,while success rate of reset in control group was 77.78%,with statistical difference （P〈0.05）.The incidence rate of complication in observation group was lower than that in control group,with statistical difference （P〈0.05）. Conclusion For children with intussusceptions,B ultrasound has high accurate diagnosis rate and no radiation.And B ultrasound-guided water enema reduction with high success rate has important value in clinical application.

关 键 词：肠套叠 B超 水压灌肠 

分 类 号：R725.7[医药卫生—儿科]