摘要【目的】比较B超引导下水压灌肠和X线下空气灌肠治疗小儿急性肠套叠疗效。【方法】回顾性分析2017年2月至2018年2月本院收治的116例小儿肠套叠治疗的患儿的临床资料,根据治疗方案的不同分为观察组(B超监视下水压灌肠治疗)和对照组(常规的X线下空气灌肠),每组各58例。比较两组患儿的肠套叠复位效果,复发率以及并发症发生率。【结果】观察组患儿血清CRP水平及肠功能恢复时间均低于对照组,而复位时间长于对照组,差异均有统计学意义(P<0.05)。观察组复发率、并发症发生率低于对照组,差异有统计学意义(P<0.05);两组复位率比较差异无统计学意义(P>0.05)。观察组小肠套叠病史＞48 h的复位率高于对照组,差异均有统计学意义(88.9% vs 72.2%,P<0.05)。【结论】B超能够对小儿急性肠套叠情况进行早期的诊断,通过B引导水压灌肠具有明显的复位效果,同时避免了因X线对人体造成的辐射伤害,是一种有效的辅助治疗和无创伤性的检测方法,能够减少患儿并发症的发生,值得临床推广应用。
Abstract：【Objective】To compare the efficacy of B-ultrasound-guided hydrostatic enema and X-ray air enema reduction in the treatment of acute intussusception in children. 【Methods】Retrospective analysis of the clinical data of 116 children with acute intussusception admitted to our hospital for enema reduction from February 2017 to February 2018 were studied. According to different enema reductions, patients were divided into the observation group and the control group, with 58 cases in each group. The control group was treated with conventional X-ray air enema, while the observation group was treated with water pressure enema under B-ultrasound monitoring. The reduction rate of intussusception, recurrence rate and complication rate of the two groups were compared. 【Results】The serum C-reactive protein (CRP) level and recovery time of intestinal function in the observation group were significantly lower than those in the control group, while the reduction time of intussusception in the observation group was longer than that in the control group. The difference was statistically significant (P<0.05). The recurrence rate and incidence of complications in the observation group were significantly lower than those in the control group (P<0.05). There was no significant difference in the reduction rate of intussusception between the two groups (P>0.05). The reduction rate of patients who suffered intussusception more than 48 hours in the observation group was higher than that in the control group, and the difference was statistically significant (88.9% vs 72.2%, P<0.05). 【Conclusion】B-ultrasonic hydrostatic enema can be used for early diagnosis of pediatric acute intussusception. It has an obvious reduction effect for intussusception, at the same time, to avoid radiation damage to human body caused by X-ray. It is an effective adjuvant therapy and non-invasive detection method which can reduce the incidence of complications. Therefore it is worthy of clinical application.
蒋建中, 覃道锐, 胡坚. B超引导下水压灌肠与X线下空气灌肠治疗小儿急性肠套叠疗效比较[J]. 医学临床研究, 2019, 36(9): 1730-1732.
JIANG Jian-zhong, QIN Dao-rui, HU Jian. Comparison of B-ultrasonic Hydrostatic Enema and X-ray Air Enema in Treatment of Children Acute Intussusception. JOURNAL OF CLINICAL RESEARCH, 2019, 36(9): 1730-1732.
2019, Vol. 36 
