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目的:本研究的目的是对超声及X线透视下肠套叠复位操作的评估及可能并发症分析。方法:在获得医院伦理委员会批准的前提下,对银川市妇幼保健院2010年1月-2016年1月银川市妇幼保健院经B超确诊并复位的31例肠套叠患儿进行了回顾性分析。为了消除技术和经验等混杂因素,对符合以下条件的病历进行比较分析,必须由高级职称的小儿外科医师和放射科医师,同时对超声或透视法的复位结果进行比较。结果:14例肠套患儿(年龄范围,6-35个月)经由B超引导下生理盐水灌肠复位,17例肠套患儿(年龄范围,2-57个月)经由透视下空灌复位,全部14例患儿经B超引导下盐水灌复位成功且无并发症(100%),17例经空灌复位患儿有14例成功复位(82%),并发穿孔1例。结论:对于儿童肠套叠的非手术治疗,超声引导下水灌复位及透视下空罐复位具有相同的效果,B超声引导盐水罐复位术较透视下空灌复位,可避免电离辐射,而且并发症较低,因此可作为一种更理想的非手术治疗措施。
OBJECTIVE: The purpose of this study was to evaluate the evaluation of intussusception and the possible complications under ultrasound and X-ray. Methods: With the approval of the Hospital Ethics Committee, 31 retrospective patients with intussusception diagnosed by B-ultrasound and reset in Yinchuan MCH hospital from January 2010 to January 2016 were retrospectively reviewed analysis. In order to eliminate the confounding factors such as technology and experience, comparative analysis of medical records that meet the following conditions must be made by a pediatric surgeon and a radiologist with a senior professional title. The results of ultrasound or fluoroscopy are also compared. Results: Fourteen children with intussusception (range, 6-35 months) underwent B-ultrasound-guided saline enema restoration and 17 children with intussusception (range, 2-57 months) , All 14 cases were successfully treated with B-guided saline irrigation and had no complications (100%). Of the 17 children who underwent empty filling, 14 had a successful reduction (82%) and 1 had perforation. CONCLUSIONS: Non-surgical treatment of intussusception in children has the same effect of ultrasound-guided water irrigation and empty canister replacement under fluoroscopy. B-ultrasound guided saline cannage reduction is more effective than fluoroscopy under empty irrigation to avoid ionizing radiation. Complications Lower, so it can be used as a more ideal non-surgical treatment.