小儿继发性肠套叠的超声特征  

Sonographic features of children with secondary intussusception

作　　者：张杰[1] 刘凌萍[1] 杨芳[1] 张号绒[1] 陈文娟[1] 

机构地区：[1]湖南省儿童医院特检科,长沙410007

出　　处：《中国中西医结合儿科学》2016年第2期182-184,F0003,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的总结小儿继发性肠套叠的超声表现,为临床治疗方案提供一定的依据。方法 2011年1月至2014年1月湖南省儿童医院特检科检查确诊为继发性肠套叠患儿43例,均在术前经超声诊断并行手术病理证实,总结不同原发病的儿童继发性肠套叠的超声表现。结果肠道淋巴瘤6例,肠息肉10例,肠源性囊肿8例,梅克尔憩室7例,克隆恩病3例,阑尾炎2例,过敏性紫癜3例,出血坏死性小肠炎2例,血管脂肪瘤1例,先天性小肠狭窄1例。结论对于小儿继发性肠套叠,超声可以发现及确诊部分原发病,是寻找套叠原因的首选检查方法,且婴儿继发性肠套叠的原发病以肠源性囊肿多见;学龄前儿童及学龄儿童以肠息肉、梅克尔憩室多见,学龄儿童反复肠套患儿需排查肠道淋巴瘤、克隆恩病,新生儿肠套叠需排除先天性小肠狭窄。Objective To summarize the sonographic findings of children with secondary intussusception and provide a basis for clinical treatment.Methods The sonographic features generated by the causes in43 cases of secondary intussusceptions in children in Hunan Children′s Hospital from January 2011 to January 2014 were retrospectively analysed and summarized,which were diagnosed by preoperative ultrasound and confirmed by surgery and pathology.Results Intestinal lymphoma was found in 6cases,and there were10 cases of colon polyps and 8cases of enterogenous cyst;the Meckler′s diverticulum was found in 7cases,and there were 3cases of Crohn′s disease,2cases of appendicitis and 3cases of allergic purpura;small hemorrhage necrotizing enteritis was found in 2cases,blood vessel lipoma in 1case,congenital intestinal stenosis in 1case.Conclusion For children with secondary intussusception,ultrasound can be used to confirm part of the primary disease,which could be the best option for detecting the cause of intussusception.In infants with secondary intussusception,often the primary disease is enterogenous cyst;in preschool children and schoolage children,intestinal polyps and Merkel diverticulum are common;school-age children and children with recurrent intussusception need to be checked for the intestinal lymphoma and Crohn′s disease while congenital intestinal stenosis should be ruled out in intestinal stenosis.

关 键 词：继发性肠套叠 超声特征 儿童 

分 类 号：R726[医药卫生—儿科]