肠套叠患儿空气灌肠复位术失败的影响因素  

Influencing factors of failure of air enema reduction in children with intussusception

作　　者：胡景辉[1] HU Jinghui(Pediatric Surgery of Jiangmen Maternal and Child Health Care Hospital,Jiangmen 529000 Guangdong,China)

机构地区：[1]江门市妇幼保健院小儿外科,广东江门529000

出　　处：《中国民康医学》2022年第5期34-36,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨肠套叠患儿空气灌肠复位术失败的影响因素。方法:回顾性分析2019年2月至2021年5月于该院行空气灌肠复位术的120例肠套叠患儿的临床资料,按手术成功与否将其分为成功组98例和失败组22例,收集两组一般资料,总结复位术失败的影响因素,并行单因素和多因素分析。结果:两组性别、血便、发热占比比较,差异均无统计学意义(P>0.05);失败组年龄<1岁、病程>24 h、肠套叠类型为回盲型、伴有脱水、套头位置为左半结肠、套头形态为不规则形、肠管血运障碍占比均高于成功组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄<1岁、病程>24 h、肠套叠类型为回盲型、脱水、套头位置为左半结肠、套头形态为不规则形、有肠管血运障碍均为肠套叠患儿空气灌肠复位术失败的危险因素(P<0.05)。结论:年龄<1岁、病程>24 h、肠套叠类型为回盲型、脱水、套头位置为左半结肠、套头形态为不规则形、有肠管血运障碍均为肠套叠患儿空气灌肠复位术失败的危险因素。Objective:To explore influencing factors of failure of air enema reduction in children with intussusception.Methods:The clinical data of 120 children with intussusception who underwent air enema reduction in our hospital from February 2019 to May 2021 were retrospectively analyzed.According to whether the operation was successful or not,they were divided into success group(98 cases)and failure group(22 cases).The general data of the two groups were collected.The influencing factors of the failure of air enema reduction were summarized.Then,the univariate and multivariate analyses were performed.Results:There were no significant differences in the ratios of gender,bloody stool,and fever between the two groups(P>0.05).The proportions of age<1 year,course of disease>24 hours,ileocecal intussusception,combined dehydration,left colon as the head,irregular head shape,and intestinal vascular obstruction of the failure group were higher than those of the success group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age<1 year,course of disease>24 hours,ileocecal intussusception,dehydration,left colon as the head,irregular head shape and intestinal vascular obstruction were the risk factors for the failure of air enema reduction in the children with intussusception(P<0.05).Conclusions:The age<1 year,course of disease>24 hours,ileocecal intussusception,dehydration,left colon as the head,irregular head shape and intestinal vascular obstruction are the risk factors for the failure of air enema reduction in the children with intussusception.

关 键 词：肠套叠 空气灌肠复位术 患儿 失败 影响因素 

分 类 号：R725.7[医药卫生—儿科]