高频超声介导下空气加压灌肠整复婴幼儿复发性肠套叠的临床研究 |
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引用本文: | 谢纯平,曹诗林,黄茂伦,聂娅,李良波,冯立文,林育成. 高频超声介导下空气加压灌肠整复婴幼儿复发性肠套叠的临床研究[J]. 中外医疗, 2014, 0(14): 1-4 |
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作者姓名: | 谢纯平 曹诗林 黄茂伦 聂娅 李良波 冯立文 林育成 |
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作者单位: | 谢纯平(广东省佛山市顺德区妇幼保健院 暨南大学附属顺德妇女儿童医院超声科,广东佛山,528300);曹诗林(广东省佛山市顺德区妇幼保健院暨南大学附属顺德妇女儿童医院放射科,广东佛山,282300);黄茂伦(广东省佛山市顺德区妇幼保健院 暨南大学附属顺德妇女儿童医院小儿外科,广东佛山,528300);聂娅(广东省佛山市顺德区妇幼保健院 暨南大学附属顺德妇女儿童医院超声科,广东佛山,528300);李良波(广东省佛山市顺德区妇幼保健院 暨南大学附属顺德妇女儿童医院小儿外科,广东佛山,528300);冯立文(广东省佛山市顺德区妇幼保健院 暨南大学附属顺德妇女儿童医院小儿外科,广东佛山,528300);林育成(广东省佛山市顺德区妇幼保健院暨南大学附属顺德妇女儿童医院放射科,广东佛山,282300); |
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基金项目: | 佛山市医学类科技攻关项目(项目编号:201108244) |
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摘 要: | 目的探讨高频超声介导下空气加压灌肠整复婴幼儿复发性肠套叠的临床价值。方法回顾性分析43例婴幼儿复发性肠套叠的临床诊治资料,总结可能引起婴幼儿复发性肠套叠的相关致病因素,鉴别特发性肠套叠与继发性肠套叠,分析高频超声介导下空气加压灌肠整复复发性肠套叠的优缺点。结果 43例复发性肠套叠患儿共复发96次,全部病例均在高频超声介导下经空气加压灌肠整复成功,整复成功后复查时发现4例存在病理诱发点,诊断为继发性肠套叠。43例复发性肠套叠患儿中,25例可探及肿大的肠系膜淋巴结。结论高频彩超介导下空气加压灌肠整复婴幼儿复发性肠套叠既能发现一些引起复发性肠套叠的病理诱发点等重要相关致病因素,又能使婴幼儿避免在传统的X线电视监视下短时间内多次遭受大剂量X线照射所造成的辐射伤害。
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关 键 词: | 高频超声 肠套叠 空气灌肠 婴幼儿 |
A Clinical Research of Air Enema Reduction of Infantile Recurrent Enteric Intussusception by High Frequency Ultrasound |
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Affiliation: | XIE Chunping, CA O ShiIin, HUANG Maolun, NIE Ya, LI Liangbo, FENG Liwen, LIN Yucheng( 1.Department of Ultrasonography, Maternity and Child Health Hospital of Shunde District/Maternity and Child Hospital of Shunde of Jinan University, Foshan, Guangdong Province, 528300, China; 2.Department of Radiology, Maternity and Child Health Hospital of Shunde District/Maternity and Child Hospital of Shunde of Ji- nan University, Foshan, Guangdong Province, 528300, China; 3.Department of Pediatric Surgery, Maternity and Child Health Hospital of Shunde District/Maternity and Child Hospital of Shunde of Jinan University, Foshan, Guangdong Province, 528300 China) |
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Abstract: | Objective To explore the clinical merit of air enema reduction of infantile recurrent intussusception by high frenquency ultrasound. Methods The clinical diagnosis and treatment data of 43 cases of infantile recurrent intussusception were reviewed retrospectively. And the pathogenic factors related to infantile recurrent intussusception were summarized; a differentiation between idiopathic intussusception and secondary intussusception was conducted; the advantages and disadvantages of air enema reduction of recurrent intussusception by high frenquency ultrasound were analyzed. Results 43 cases of infantile recurrent intussusception recurred 96 times, and the air enema reduction of all the cases of infantile recurrent intussusception by high frequency ultrasound was successful. Pathologic lead point was found in 4 cases during the return visit and the patients were diagnosed with secondary intussusception; and tumescent mesenteric lymph nodes were found in 25 cases. Conclusion Air enema reduction of infantile recurrent intussusception by high frequency ultrasound can not only find pathologic lead points and other important related pathogenic factors of infantile recurrent intussusception, but also make the infant avoid the radiation damage caused by repeatedly high dose X-ray irradiation in a short period of time under the traditional X-ray fluoroscopy. |
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Keywords: | High frequency ultrasound Intussusception Air enema Infant |
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