中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
30期
166-168
,共3页
邓懋恩%杨银广%陈丽珍%黄祯%郭天畅%朱晓锋%叶文卫
鄧懋恩%楊銀廣%陳麗珍%黃禎%郭天暢%硃曉鋒%葉文衛
산무은%양은엄%진려진%황정%곽천창%주효봉%협문위
肠套叠%B超%水压灌肠
腸套疊%B超%水壓灌腸
장투첩%B초%수압관장
Intussusception%B ultrasound%Water enema reduction
目的:探究B超诊断小儿肠套叠并在监视下进行水压灌肠治疗的临床价值。方法选取在本院进行治疗的肠套叠患儿90例,分为观察组和对照组,每组45例,两组患儿均经B超诊断为肠套叠,然后观察组应用B超监视下行水压灌肠治疗,而对照组应用X线监视下进行空气灌肠治疗,记录B超检查小儿肠套叠的有效性,并比较两组患儿的治疗成功率。结果本组90例B超诊断为肠套叠的患儿,确诊率为100%。观察组复位成功率为93.33%,对照组复位成功率为77.78%,差异有统计学意义(P<0.05)。观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对于肠套叠的患儿来说,应用B超进行诊断确诊率高,且无辐射,并在B超引导下进行水压灌注整复,成功率高,具有重要的临床应用价值。
目的:探究B超診斷小兒腸套疊併在鑑視下進行水壓灌腸治療的臨床價值。方法選取在本院進行治療的腸套疊患兒90例,分為觀察組和對照組,每組45例,兩組患兒均經B超診斷為腸套疊,然後觀察組應用B超鑑視下行水壓灌腸治療,而對照組應用X線鑑視下進行空氣灌腸治療,記錄B超檢查小兒腸套疊的有效性,併比較兩組患兒的治療成功率。結果本組90例B超診斷為腸套疊的患兒,確診率為100%。觀察組複位成功率為93.33%,對照組複位成功率為77.78%,差異有統計學意義(P<0.05)。觀察組的併髮癥髮生率低于對照組,差異有統計學意義(P<0.05)。結論對于腸套疊的患兒來說,應用B超進行診斷確診率高,且無輻射,併在B超引導下進行水壓灌註整複,成功率高,具有重要的臨床應用價值。
목적:탐구B초진단소인장투첩병재감시하진행수압관장치료적림상개치。방법선취재본원진행치료적장투첩환인90례,분위관찰조화대조조,매조45례,량조환인균경B초진단위장투첩,연후관찰조응용B초감시하행수압관장치료,이대조조응용X선감시하진행공기관장치료,기록B초검사소인장투첩적유효성,병비교량조환인적치료성공솔。결과본조90례B초진단위장투첩적환인,학진솔위100%。관찰조복위성공솔위93.33%,대조조복위성공솔위77.78%,차이유통계학의의(P<0.05)。관찰조적병발증발생솔저우대조조,차이유통계학의의(P<0.05)。결론대우장투첩적환인래설,응용B초진행진단학진솔고,차무복사,병재B초인도하진행수압관주정복,성공솔고,구유중요적림상응용개치。
Objective To explore B ultrasound in the diagnosis of infantile intussusception and its the clinical value under the monitor of hydraulic pressure enema treatment. Methods 90 children with intussusceptions in our hospital were selected and divided into observation group and control group,45 cases in each group.Children of two groups were diagnosed with intussusception by B ultrasound.B ultrasound-guided water enema reduction treatment was used in ob-servation group,while X-ray-guided air enema treatment was applied in control group.The effectiveness of B ultrasound examination on infantile intussusception was recorded.The success rate of treatment in two groups was compared. Re-sults The diagnosis rate with B ultrasound was 100%.The success rate of reset in observation group was 93.33%,while success rate of reset in control group was 77.78%,with statistical difference (P<0.05).The incidence rate of complication in observation group was lower than that in control group,with statistical difference (P<0.05). Conclusion For children with intussusceptions,B ultrasound has high accurate diagnosis rate and no radiation.And B ultrasound-guided water enema reduction with high success rate has important value in clinical application.