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目的 探讨超声对小儿肠套叠治疗方法选择的预测价值。方法 对 1 4 4例临床拟诊为肠套叠的患儿均先行超声检查 ,而后行空气灌肠检查或整复。结果 74例被确诊为肠套叠 ,70例被排除诊断。其中空气灌肠整复成功 5 4例 ,不成功 2 0例 ,后者行手术治疗。超声诊断肠套叠的敏感性、特异性和准确性分别为 97.3%、97.1 %和 97.2 %。结论 超声可以正确选择小儿肠套叠的治疗方法 ,套入部内层肠壁厚度大于 1 cm,伴有肠腔液气平或腹腔积液者 ,应禁止空气灌肠 ,尽早手术复位
Objective To investigate the predictive value of ultrasound in the treatment of children with intussusception. Methods One hundred and forty-four cases of suspected intussusception in children were examined by ultrasound before air enema examination or reconstructive. Results 74 cases were diagnosed as intussusception, 70 cases were diagnosed. Among them, 54 cases were successfully reconstructed with air enema, 20 cases were unsuccessful, and the latter was operated surgically. The sensitivity, specificity and accuracy of ultrasound in diagnosing intussusception were 97.3%, 97.1% and 97.2% respectively. Conclusion Ultrasound can correct the treatment of pediatric intussusception, set into the inner wall of the intestinal wall thickness greater than 1 cm, accompanied by fluid or gas hydroureteroneal effusion should be banned air enema, surgical resection as soon as possible