CAJ | 학술논문

目的：探讨高频超声介导下空气加压灌肠整复婴幼儿复发性肠套叠的临床价值。方法回顾性分析43例婴幼儿复发性肠套叠的临床诊治资料,总结可能引起婴幼儿复发性肠套叠的相关致病因素,鉴别特发性肠套叠与继发性肠套叠,分析高频超声介导下空气加压灌肠整复复发性肠套叠的优缺点。结果43例复发性肠套叠患儿共复发96次,全部病例均在高频超声介导下经空气加压灌肠整复成功,整复成功后复查时发现4例存在病理诱发点,诊断为继发性肠套叠。43例复发性肠套叠患儿中,25例可探及肿大的肠系膜淋巴结。结论高频彩超介导下空气加压灌肠整复婴幼儿复发性肠套叠既能发现一些引起复发性肠套叠的病理诱发点等重要相关致病因素,又能使婴幼儿避免在传统的X线电视监视下短时间内多次遭受大剂量X线照射所造成的辐射伤害。
목적：탐토고빈초성개도하공기가압관장정복영유인복발성장투첩적림상개치。방법회고성분석43례영유인복발성장투첩적림상진치자료,총결가능인기영유인복발성장투첩적상관치병인소,감별특발성장투첩여계발성장투첩,분석고빈초성개도하공기가압관장정복복발성장투첩적우결점。결과43례복발성장투첩환인공복발96차,전부병례균재고빈초성개도하경공기가압관장정복성공,정복성공후복사시발현4례존재병리유발점,진단위계발성장투첩。43례복발성장투첩환인중,25례가탐급종대적장계막림파결。결론고빈채초개도하공기가압관장정복영유인복발성장투첩기능발현일사인기복발성장투첩적병리유발점등중요상관치병인소,우능사영유인피면재전통적X선전시감시하단시간내다차조수대제량X선조사소조성적복사상해。
Objective To explore the clinical merit of air enema reduction of infantile recurrent intussusception by high frenquency ultrasound. Methods The clinical diagnosis and treatment data of 43 cases of infantile recurrent intussusception were reviewed retrospectively. And the pathogenic factors related to infantile recurrent intussusception were summarized;a differentiation between idiopathic intussusception and secondary intussusception was conducted; the advantages and disadvantages of air enema reduction of recurrent intussusception by high frenquency ultrasound were analyzed. Results 43 cases of infantile recurrent intussusception recurred 96 times, and the air enema reduction of all the cases of infantile recurrent intussusception by high frequency ultrasound was successful. Pathologic lead point was found in 4 cases during the return visit and the patients were diagnosed with secondary intussusception; and tumescent mesenteric lymph nodes were found in 25 cases. Conclusion Air enema reduction of infantile re-current intussusception by high frequency ultrasound can not only find pathologic lead points and other important related pathogenic factors of infantile recurrent intussusception, but also make the infant avoid the radiation damage caused by repeatedly high dose X-ray irradiation in a short period of time under the traditional X-ray fluoroscopy.