空气灌肠整复后包块影再现诊断继发性肠套叠的价值  

The value of reappearance of mass in the diagnosis of secondary intussusceptions after air enema

作　　者：杨绍伟 黄穗[1] 闫学强[2] 刘帆[1] 肖霞 YANG Shaowei;HUANG Sui;YAN Xueqiang;LIU Fan;XIAO Xia(Department of Radiology,Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China;Department of General Surgery,Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China;Department of Children's Ultrasound,Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院放射科,湖北武汉430016 [2]华中科技大学同济医学院附属武汉儿童医院普外科,湖北武汉430016 [3]华中科技大学同济医学院附属武汉儿童医院儿童B超室,湖北武汉430016

出　　处：《实用放射学杂志》2020年第4期588-591,共4页Journal of Practical Radiology

摘　　要：目的探讨空气灌肠征象诊断继发性肠套叠的价值.方法回顾性分析174例继发性肠套叠的空气灌肠征象.结果空气灌肠整复后38例有包块影再现,整复成功32例,整复失败6例.发生88次肠套叠,整复成功81次,77次可见包块影;整复失败7次,2次可见包块影.33例患儿每次肠套叠均可见包块影,5例患儿仅部分次发病可见包块影.38例包括肠息肉18例,梅克尔憩室8例,肠重复畸形7例,淋巴瘤3例,肠系膜裂孔疝1例,慢性阑尾炎1例.38例中10例B超、8例CT及9例B超+CT提示存在病理诱发点(PLP).结论空气灌肠整复后,腹部尤其是结肠内有包块影再现,多提示继发性肠套叠,可为临床下一步的诊治提供依据.Objective To explore the value of performance of air enema in diagnosing secondary intussusceptions.Methods Retrospective analysis was carried out in the performance of air enema of the 174 cases of secondary intussusceptions which were diagnosed and treated.Results There were 38 cases with reappearance of mass after air enema,with 32 cases successfully reduced and 6 cases unsuccessfully reduced.In 38 cases,there were 88 episodes of intussusceptions,of which 81 episodes successfully reduced with 77 episodes of reappearance of massjand of which 7 episodes unsuccessfully reduced with 2 episodes of reappearance of mass.The mass reappeared in every episodes of 33 cases of intussusceptions,and in partal episodes of 5 cases of intussusceptions.In 38 cases,there were 18 cases of intestinal polyps,8 cases of Meckel’s diverticulum,7 cases of intestinal duplication,3 cases of lymphoma,1 case of mesenteric hiatus and 1 case of chronic appendicitis.Of the 38 cases,10 cases by ultrasound,8 cases by CT and 9 cases by ultrasound combined with CT indicated the presence of pathologic lead point(PLP).Conclusion After air enema,the reappearance of mass in the abdomen,especially in the colon generally indicates secondary intussusceptions,and can provide basis for clinical next diagnosis and treatment.

关 键 词：空气灌肠 继发性肠套叠 影像诊断 

分 类 号：R459.9[医药卫生—治疗学] R574.3[医药卫生—临床医学]