CAJ | 학술논문

目的：探讨B超引导下水压灌肠治疗小儿急性肠套叠的方法及影响复位成功的相关因素。方法回顾性分析2010年5月至2014年5月收治的188例急性肠套叠的患儿的临床资料，该组患儿均经B超或手术确诊，其中178例在B超引导下水压灌肠复位治疗，将该组患儿按性别、年龄、入院时有无轮状病毒感染史、入院时一般情况、发病时间、白细胞总数、B超影像学上的套叠包块血流信号多少探讨与复位成功率之间的关系。结果178例患儿全部治愈，无死亡病例，无1例发生穿孔，经分析与复位成功率相关的因素有：年龄、发病时间、肠套叠类型及套叠处肠管血运。结论 B超对小儿急性肠套叠的诊断率较高，有手术指征的患儿要尽早采取B超引导下水压灌肠治疗。
목적：탐토B초인도하수압관장치료소인급성장투첩적방법급영향복위성공적상관인소。방법회고성분석2010년5월지2014년5월수치적188례급성장투첩적환인적림상자료，해조환인균경B초혹수술학진，기중178례재B초인도하수압관장복위치료，장해조환인안성별、년령、입원시유무륜상병독감염사、입원시일반정황、발병시간、백세포총수、B초영상학상적투첩포괴혈류신호다소탐토여복위성공솔지간적관계。결과178례환인전부치유，무사망병례，무1례발생천공，경분석여복위성공솔상관적인소유：년령、발병시간、장투첩류형급투첩처장관혈운。결론 B초대소인급성장투첩적진단솔교고，유수술지정적환인요진조채취B초인도하수압관장치료。
Objective to investigate the factors related to the method B ultrasound guided hydrostatic enema in the treatment of pediatric acute intussusception and inlfuence of reset successful. Method analysis clinical data of acute intussusception in 2010 May ~ 2014 May 188 cases were children review, the groups of children were diagnosed by B-ultrasound or operation, in-cluding 178 cases in the ultrasound guided reduction of hydrostatic enema treatment, the groups according to gender, age, ad-mission without rotavirus infection history, on admission the general condition, time of onset, the total number of leukocytes, ultrasound imaging on overlapping package block blood lfow signals of much discussion and the reduction rate of the relation-ship between. Result 178 cases were cured, no death, no perforation occurred in 1 patients, after the analysis and the successful rate of reduction related factors: age, time of onset, type of intussusception intussusception and intestinal blood lfow at. Con-clusion ultrasound in the diagnosis of pediatric acute intussusception rate is higher, there are surgical indications of children be taken as early as possible under the guidance of ultrasound enema treatment.