小儿急性肠套叠腹部平片特点分析

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目的本文将对小儿急性肠套叠患儿进行临床分析,从而探讨小儿急性肠套叠腹部平片特点,为临床提高小儿急性肠套叠患儿诊断正确率,最终提高患儿治疗效果与生活质量提供可靠依据.方法对24例急性肠套叠患儿均进行临床腹部X线平片检查,检查范围为患儿腹部全面扫描,并拍摄腹部平片.选取一至两名具有临床经验以及专业知识的医学影像检验人员对所有患儿完成检查,并记录检查结果.结果24例小儿急性肠套叠患儿均经X线腹部平片检查,且经空气灌肠进一步证实诊断,X线腹部平片检查准确人数为16例,准确率为66.67%;患儿发病至就诊间隔时间越长,则完全性肠梗阻发生率越高.结论对小儿急性肠套叠患儿进行腹部X线平片检查,患儿病情诊断正确率较低,因此仅作为辅助临床检查手段,若需进行确诊还应对其进行空气灌肠或B超检查.但对患儿进行腹部X线平片仍具有一定意义,如患儿腹部平片检查可知体内出现局限性积气,且发现结肠内部充盈缺失,可基本明确诊断患儿病情.“,”Objective:This paper wil be of pediatric acute intussusception in children clinical analysis of pediatric acute intussusception, abdominal plain film characteristics, to improve the clinical pediatric acute intussusception diagnostic accuracy, and ultimately improve treatment outcomes and quality of life to provide reliable basis. Methods:24 cases of acute intussusception in children underwent clinical plain abdominal radiography, check the range for children abdominal ful scan, and shoot the abdominal plain film. Select one to two with clinical experience and professional knowledge of the medical image inspection personnel of al children to complete the examination, and record the inspection results. Results:24 cases of pediatric acute intussusception were confirmed by X-ray examination, and after further confirmed the diagnosis of air enema, abdominal plain film X-ray examination exact numbers for 16 patients, the accurate rate is 66.67%; the incidence of children with to the treatment interval time is long, is a complete intestinal obstruction occurrence rate is high. Conclusion:In pediatric acute intussusception in children with plain abdominal radiography in diagnosis, correct rate is low, so only as an auxiliary means of clinical examination, if required for diagnosis also should carry out air enema or B ultrasound examination. But the children were given plain abdominal radiography stil has a certain significance, such as in children with abdominal plain film examination that occured in the limitations of gas,and colon revealed internal filing missing, can basicaly definitive diagnosis of children with the disease.
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