中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2011年
9期
768-771
,共4页
王晓莹%徐栋%蒿业红%李齐云
王曉瑩%徐棟%蒿業紅%李齊雲
왕효형%서동%호업홍%리제운
超声检查%肠套叠%手法复位
超聲檢查%腸套疊%手法複位
초성검사%장투첩%수법복위
Ultrasonography%Intussusception%Manipulative reduction
目的 探讨实时超声监护下小儿肠套叠患者手法复位的临床价值。方法 对103例经超声检查确诊为小儿肠套叠患者进行动态观察，并在实时超声监护下以套头为起点用探头轻柔加压按摩，观察有无肠蠕动、套筒有无缩短或消失。按肠套包块大小、套筒长度、年龄分组分析观察结果，并与X线高压空气灌肠比较。结果 共有50例(48.5％)肠套叠患儿超声下复位成功，复位率与包块大小、套筒长度及患儿的年龄（合作程度）有关,1h后复查39例治疗成功。对于包块直径＜2.0 cm者，超声监护下手法复位率明显高于X线高压空气灌肠。结论实时超声监护下手法复位对小儿肠套叠近一半患儿起到直接治疗作用，明显降低了灌肠复位等其他治疗人数，减轻了患儿的痛苦和医疗费用，并可作为灌肠等其他治疗的筛查。
目的 探討實時超聲鑑護下小兒腸套疊患者手法複位的臨床價值。方法 對103例經超聲檢查確診為小兒腸套疊患者進行動態觀察，併在實時超聲鑑護下以套頭為起點用探頭輕柔加壓按摩，觀察有無腸蠕動、套筒有無縮短或消失。按腸套包塊大小、套筒長度、年齡分組分析觀察結果，併與X線高壓空氣灌腸比較。結果 共有50例(48.5％)腸套疊患兒超聲下複位成功，複位率與包塊大小、套筒長度及患兒的年齡（閤作程度）有關,1h後複查39例治療成功。對于包塊直徑＜2.0 cm者，超聲鑑護下手法複位率明顯高于X線高壓空氣灌腸。結論實時超聲鑑護下手法複位對小兒腸套疊近一半患兒起到直接治療作用，明顯降低瞭灌腸複位等其他治療人數，減輕瞭患兒的痛苦和醫療費用，併可作為灌腸等其他治療的篩查。
목적 탐토실시초성감호하소인장투첩환자수법복위적림상개치。방법 대103례경초성검사학진위소인장투첩환자진행동태관찰，병재실시초성감호하이투두위기점용탐두경유가압안마，관찰유무장연동、투통유무축단혹소실。안장투포괴대소、투통장도、년령분조분석관찰결과，병여X선고압공기관장비교。결과 공유50례(48.5％)장투첩환인초성하복위성공，복위솔여포괴대소、투통장도급환인적년령（합작정도）유관,1h후복사39례치료성공。대우포괴직경＜2.0 cm자，초성감호하수법복위솔명현고우X선고압공기관장。결론실시초성감호하수법복위대소인장투첩근일반환인기도직접치료작용，명현강저료관장복위등기타치료인수，감경료환인적통고화의료비용，병가작위관장등기타치료적사사。
Objective To investigate the value of the manipulative reduction monitored by ultrasound for the intussusception of children.Methods One hundred and three intussusception children were dynamically observed by ultrasound,and were pressed softly beginning with the head of the intussusceptum,and observed whether there was intestinal peristalsis, and whether the intussuseeptum shortened and disappeared finally.The results were analyzed based on the size of the masse, the length of the intussusceptum,and the patients' age,and compared with the X-ray high pressure air enema.Results Fifty (48.5 ％) intussusception children were recovered.The recoverability was related to the size of the mass, the length of the intussusceptum, and the age of the children (level of cooperation).Thirty-nine patients were recovered after reexamined one hour later.The recoverability of manipulative reduction monitored by ultrasound for the mass diameter less than 2.0 cm was obviously higher than that by X-ray high pressure air enema.Conclusions Manipulative reduction monitored by ultrasound could cure almost half of the intussusception children patients directly.It could decrease the number of patients who were treated with high-pressure air enema,it could relieve the pain of the children and reduce their medical expenses.It also could be acted as a screening way to other therapies like high pressure air enema.
