儿童原发性肠套叠220例的临床特点及危险因素分析  

Analysis of clinical features and risk factors of 220 children with primary intussusception

作　　者：谭小光 TAN Xiaoguang(Department of Pediatric Surgery,Fuyang Women’s and Children’s Hospital,Anhui Province,Fuyang236000,China)

机构地区：[1]安徽省阜阳市妇女儿童医院小儿外科,安徽阜阳236000

出　　处：《中国医药导报》2021年第2期86-89,共4页China Medical Herald

摘　　要：目的分析儿童原发性肠套叠的临床特点及危险因素。方法回顾性分析2018年1月-2020年1月安徽省阜阳市妇女儿童医院收治的220例原发性肠套叠患儿。所有患儿均行肠套叠空气灌肠复位治疗,依据复位成功与否分为观察组(200例)和对照组(20例)。对影响儿童原发性肠叠套空气灌肠复位的因素进行分析。结果两组病程、发热、腹部包块、果酱样便、腹胀、腹腔积液、肠系膜淋巴结肿大、肠套叠直径、肠套叠长度比较,差异有统计学意义(P<0.05)。病程、腹部包块、果酱样便、腹胀、套叠直径和套叠长度是影响患儿原发性肠套叠空气灌肠复位的独立危险因素(OR>1,P<0.05)。结论儿童原发性肠套叠具有暂时性特点,选择肠套叠空气灌肠复位治疗可明显提高复位成功率。病程、腹部包块、果酱样便、腹胀、套叠直径和套叠长度是影响空气灌肠复位的独立危险因素。Objective To analyze the clinical features and risk factors of 220 children of primary intussusception.Methods A total of 220 cases with primary intussusception in Fuyang women’s and children’s Hospital of Anhui Province were retrospectively selected from January 2018 to January 2020.All children were treated with air enema for intussusception.According to the success of reduction,they were divided into observation group(200 cases)and control group(20 cases).The factors influencing reduction of primary intussusception air enema in children were analyzed.Results There were statistically significant differences in course of disease,fever,abdominal mass,jam like stool,abdominal distension,abdominal effusion,mesenteric lymphomegaly,intussusception diameter and intussusception length between the two groups(P<0.05).The course of disease,abdominal mass,jam like stool,abdominal distension,intussusception diameter and intussusception length were independent risk factors affecting the reduction of primary intussusception air enema(OR>1,P<0.05).Conclusion Primary intussusception in children is temporary,and the reduction success rate can be improved obviously by air enema.The course of disease,abdominal mass,jam like stools,abdominal distension,diameter and length of entrapment were independent risk factors for air enema reduction.

关 键 词：原发性肠套叠 危险因素 临床特点 腹部包块 肠系膜淋巴肿大 

分 类 号：R726.5[医药卫生—儿科]