中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
25期
114-114,116
,共2页
小儿%肠套叠%超声诊断%治疗
小兒%腸套疊%超聲診斷%治療
소인%장투첩%초성진단%치료
Children%Intussusception%Ultrasound diagnosis%Treatment
目的：探讨超声诊断小儿肠套叠的声像图特点及诊断价值。方法：使用ALOKA SSD-3500彩超诊断仪，探头频率3.5 MHz、7.5 MHz，二者交替使用，全面扫查患儿腹部，重点检查病变部位内部回声及血供情况。结果：套叠时间＞48 h肠壁水肿较重，无血流信号者，有腹膜炎表现，套筒内有积液者不易灌肠复位，均手术治疗。本组X线监测下空气灌肠及超声引导下水压灌肠复位成功39例(86.7%)，经手术治疗6例(13.3%)，复位成功。结论：超声诊断小儿肠套叠为首选，能指导临床治疗方案。
目的：探討超聲診斷小兒腸套疊的聲像圖特點及診斷價值。方法：使用ALOKA SSD-3500綵超診斷儀，探頭頻率3.5 MHz、7.5 MHz，二者交替使用，全麵掃查患兒腹部，重點檢查病變部位內部迴聲及血供情況。結果：套疊時間＞48 h腸壁水腫較重，無血流信號者，有腹膜炎錶現，套筒內有積液者不易灌腸複位，均手術治療。本組X線鑑測下空氣灌腸及超聲引導下水壓灌腸複位成功39例(86.7%)，經手術治療6例(13.3%)，複位成功。結論：超聲診斷小兒腸套疊為首選，能指導臨床治療方案。
목적：탐토초성진단소인장투첩적성상도특점급진단개치。방법：사용ALOKA SSD-3500채초진단의，탐두빈솔3.5 MHz、7.5 MHz，이자교체사용，전면소사환인복부，중점검사병변부위내부회성급혈공정황。결과：투첩시간＞48 h장벽수종교중，무혈류신호자，유복막염표현，투통내유적액자불역관장복위，균수술치료。본조X선감측하공기관장급초성인도하수압관장복위성공39례(86.7%)，경수술치료6례(13.3%)，복위성공。결론：초성진단소인장투첩위수선，능지도림상치료방안。
Objective:To investigate the value of ultrasound in diagnosis of children intussusception and ultrasonographic features. Methods:ALOKA SSD-3500 ultrasound diagnostic instrument was used.The probe frequency were 3.5 MHz and 7.5 MHz.Two were used interchangeably.We roundly scaned the child's abdomen,and focused on examination of the lesion site internal echo and blood supply.16 cases had guided hydrostatic enema.Results:If the intussusception time was more than 48 hours,the bowel wall edema was heavier.Patients without blood flow signal had peritonitis.Patients of sleeve with effusion were not easy enema reduction.They were treated with operation.Under X-ray monitoring,air enema,ultrasound guided,hydrostatic pressure enema reduction was successful in 39 cases(86.7%).6 cases(13.3%) were treated with operation.Reset was successful.Conclusion:Ultrasound diagnosis of intussusception in children is preferred.It can guide the clinical treatment.
