超声引导下水压灌肠治疗小儿肠套叠后复发危险因素  

Risk factors of recurrent associated with children intussusception after hydrostatic reduction enema guided by ultrasonography

作　　者：胡蕾 叶显俊 朱宇飞 何年安 HU Lei;YE Xianjun;ZHU Yufei;HE Nian'an(Department of Ultrasound,the First Affiliated Hospital of USTC,Anhui Provincial Hospital,Hefei 230001,China;Department of Pediatric Surgery,the First Affiliated Hospital of USTC,Anhui Provincial Hospital,Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院,安徽省立医院超声科,安徽合肥230001 [2]中国科学技术大学附属第一医院,安徽省立医院儿外科,安徽合肥230001

出　　处：《中国介入影像与治疗学》2020年第8期484-488,共5页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨超声引导下水压灌肠治疗小儿肠套叠后复发的危险因素。方法回顾性分析92例经超声引导下水压灌肠的肠套叠患儿,其中50例治疗后复发(复发组),42例未复发(未复发组)。采用Logistic回归方程分析复发危险因素,以ROC曲线评估各因素预测复发的诊断效能。结果2组患儿血便、肠套叠继发因素及超声所示肠套叠“同心圆”最大径、肠壁血流信号、腹腔积液差异均有统计学意义(P均<0.05),且上述各项均为肠套叠复发的危险因素(P均<0.05)。取肠套叠“同心圆”最大径截断值为35 mm时,其预判复发的AUC为0.87,高于其他因素(P均<0.05)。结论肠套叠“同心圆”最大径≥35 mm、血便、肠套叠套头部位无明显血流信号、存在继发性因素及腹腔积液为超声引导下小儿肠套叠水压灌肠成功后复发的危险因素。Objective To observe the risk factors of recurrence of children intussusception after ultrasound-guided hydrostatic reduction of intussusception with saline enema(UGHSE).Methods Clinical data of 92 intussusception cases underwent UGHSE were retrospectively analyzed,including 50 cases with recurrence of intussusception(recurrence group)and 42 cases without recurrence(non-recurrence group).Logistic regression equation was used to analyze the risk factors of recurrence of children intussusception after UGHSE.The ROC curve was further evaluated to predict the accuracy of various factors in predicting the recurrence.Results Blood stool,secondary factors of intussusception,the maximum diameter of intussusception"concentric circles",blood flow signal of intussusception intestinal wall and seroperitoneum were all significantly different between 2 groups(all P<0.05),and all the above factors were risk factors for recurrent intussusception(all P<0.05).Taken the maximum diameter of intussusception"concentric circles"=35 mm as the cut-off value,the AUC for predicting recurrence of intussual recombination was 0.87,higher than that of the other factors(all P<0.05).Conclusion The maximum diameter of intussusception"concentric circles"≥35 mm,blood stool,seroperitoneum,no blood flow signal of intussusception intestinal wall and secondary factors of intussusception are important risk factors for recurrence of children intussusception after UGHSE.

关 键 词：肠套叠 灌肠 超声检查 危险因素 儿童 

分 类 号：R726[医药卫生—儿科] R445.1[医药卫生—临床医学]