CAJ | 학술논문

目的：通过分析小儿肠套叠的彩色超声表现，探讨其在该病复位治疗中的指导价值。方法回顾性分析2009年10月至2012年6月在遵义医学院附属医院经急、门诊彩色超声检查诊断的114例肠套叠患儿的声像图表现，回访病例，按治愈方式分组进行对比。结果114例肠套叠患儿均经空气灌肠复位或手术治愈证实，年龄小于12个月肠套叠患儿，空气灌肠复位更易成功；“同心圆征”直径、“套筒征”长度及肠壁厚度测量值较小者更适宜空气灌肠复位；套叠鞘部肠壁及肠系膜血供丰富者空气灌肠复位成功率较高，血供较差者复位成功率较低；空气灌肠复位成功受套入部位影响。结论联合应用彩色超声常规和高频探头检查，可提高小儿肠套叠诊断率及其部分原发病灶的确诊及检出率，能为临床选择复位治疗方式提供指导依据。
목적：통과분석소인장투첩적채색초성표현，탐토기재해병복위치료중적지도개치。방법회고성분석2009년10월지2012년6월재준의의학원부속의원경급、문진채색초성검사진단적114례장투첩환인적성상도표현，회방병례，안치유방식분조진행대비。결과114례장투첩환인균경공기관장복위혹수술치유증실，년령소우12개월장투첩환인，공기관장복위경역성공；“동심원정”직경、“투통정”장도급장벽후도측량치교소자경괄의공기관장복위；투첩초부장벽급장계막혈공봉부자공기관장복위성공솔교고，혈공교차자복위성공솔교저；공기관장복위성공수투입부위영향。결론연합응용채색초성상규화고빈탐두검사，가제고소인장투첩진단솔급기부분원발병조적학진급검출솔，능위림상선택복위치료방식제공지도의거。
Objective To explore the instruction value of the color Doppler ultrasonography for the diagnosis and treatment of the pediatric intussusceptions .Methods Retrospective study the color Doppler ultrasonographic performance of 114 patients with diagnosis of pediatric intussusception in the affiliated hospital of Zunyi medical college ,from October 2009 to June 2012 ,reviewed the case ,groups were compared according to the ways of therapeutic methods .Results All the 114 cases of children of the intus-susception are subject to air enema reset or surgery cured confirmed .Age younger than 12 months intussusception children ,air ene-ma reset were more likely to success ;the diameter of "concentric circles levy",the length of "sleeve for "and the thickness of bowel wall were smaller ,the more suitable for outsiders air enema reset .The blood supply of scabbard of bowel wall and the mesenteric was rich ,the air enema reset had a higher success rate ,blood supply was poor and the success rate was lower .The success rate of air enema reset was influenced by the part of intussusception .Conclusion Combined use of conventional color ultrasonic and high fre-quency probe checking ,can raise the diagnosis rate of pediatric intussusception ,the primary lesion confirmed and the detection rate in the position of the disease ,provide guidance for clinical choice reduction treatment .