彩超监视下水压灌肠治疗小儿肠套叠效果分析.docVIP

彩超监视下水压灌肠治疗小儿肠套叠效果分析 　　[摘要] 目的 探讨彩超监视下水压灌肠治疗小儿肠套叠的临床效果。 方法 选择2014年4月～2015年3月期间诊治的肠套叠患儿59例并用随机数字法分成两组，观察组在彩超监视下行水压灌肠治疗，对照组应用传统空气灌注法，对比两组患儿治疗效果和复位时间。 结果 观察组患儿复位成功率明显优于对照组（P0.05），观察组患儿平均复位时间（15.84±3.12）min，短于对照组患儿的平均复位时间（26.18±4.18）min，差异有统计学意义（P0.05）；观察组患儿未发生任何并发症，对照组患儿发生5例，两组并发症发生率比较，差异有统计学意义（P0.05）。结论 彩超监视下水压灌肠治疗小儿肠套叠的临床效果肯定，且复位较快。 　　[关键词] 彩超监视下水压灌肠；小儿肠套叠；复位时间 　　[中图分类号] R726.5；R445.1 [文献标识码] B [文章编号] 1673-9701（2016）15-0090-03 　　[Abstract] Objective To discuss the clinical effect of hydrostatic reduction of intussusception monitored by color Doppler ultrasound. Methods 77 children with intussusceptions treated in our hospital from April 2014 to March 2015 were selected and randomly divided into two groups. Patients in the observation group were given hydrostatic enema monitored by color Doppler ultrasound， while patients in the control group were given conventional air perfusion. The treatment effects and reduction time were compared between two groups. Results The successful reduction rate was significantly higher in the observation group than in the control group（P0.05）. The average reduction time was（15.84±3.12） min in the observation group， which was significantly shorter than the （26.18±4.18） min in the control group （P0.05）. There was no complications in the observation group， while there were 5 cases of complications in the control group（P0.05）. Conclusion Hydrostatic reduction of intussusception monitored by color Doppler ultrasound has confirmed effect with shorter time of reduction. 　　[Key words] Hydrostatic enema monitored by color Doppler ultrasound； Intussusception in children； Reduction time 　　肠套叠属于外科急腹症之一，也是婴幼儿时期发生急性肠梗阻的最常见诱因。肠套叠病情进展极快，一旦延误治疗可能引发肠坏死或死亡[1]。因此，早期诊断、及时治疗是改善患儿预后的关键。目前，临床上采用X线片、超声等进行诊断，但其诊断效果不一[2]。据有关报道称[3]，超声在小儿肠套叠诊断中准确率较高，而水压灌肠疗法的复位成功率较高。本研究为明确彩超监视下水压灌肠治疗小儿肠套叠的效果，将59例肠套叠患儿随机分组后，分别予以彩超监视下水压灌肠治疗、传统空气灌注法，现报道两组患儿治疗效果与复位时间如下。 　　1 资料与方法 　　1.1 临床资料 　　纳入本次研究的59例肠套叠患儿均为医院自2014年4月～2015年3月收治，且均经彩色多普勒超声检测明确诊断为肠套叠，将其分成观察组30例、对照组29例。其中，观察组中男1