高频彩超在小儿急性肠套叠诊治中应用价值.docVIP

高频彩超在小儿急性肠套叠诊治中应用价值 　　[摘要] 目的 探讨高频彩超在诊治小儿急性肠套叠中的临床应用价值。 方法 选择2010～2014年于广东省梅州市大埔县人民医院确诊为急性肠套叠患儿84例为研究对象，将其随机分为对照组（40例）和实验组（44例），对照组采用X线透视，作空气或钡剂灌肠复位，实验组应用高频彩超监护下行水压灌肠。比较两组患者的诊断、整复成功率以及复位成功后住院时间，分析两组整复效果。 结果 实验组的整复成功率（95.45%）显著高于对照组（77.50%），两组比较，差异有统计学差异（P 0.05）。实验组患者并发症发生率为2.27%，其复位成功后的平均住院时间为（1.2±0.12）d，优于对照组[30.00%，（1.9±0.09）d]，差异均有统计学差异（P 0.05），实验组复位效果更优。 结论 应用高频彩超监护下水压灌肠小儿急性肠套叠具有诊治成功率高、安全快捷、并发症少等特点，显著提高急性肠套叠患儿的治愈率，是小儿急性肠套叠诊治一种理想的方法，值得基层医院推广。 　　[关键词] 高频彩超；急性肠套叠；诊断价值 　　[中图分类号] R726.5 [文献标识码] A [文章编号] 1673-7210（2015）07（a）-0114-04 　　[Abstract] Objective To investigate the clinical value of high frequency ultrasound in the diagnosis and treatment of children with acute intussusception. Methods 84 cases diagnosed as acute intussusception in the Peoples Hospital of Dabu County from 2010 to 2014 were selected as the study objects， and they were randomly divided into control group （40 cases） and experimental group （44 cases）， the control group was given X-ray test， air or barium enema， the experimental group was received high-frequency ultrasound treatment. Disease diagnosis， the success rate of the entire complex of two groups were compared， and the reset time in hospital after the success of the entire complex of the effect of the two groups were analyzed. Results The results of the experimental group （95.45%） of the entire complex was significantly higher success rate （77.50%）， and results of the two groups have difference， the difference was statistically significant （P 0.05）. Patients of the experimental group with a low complication rate （2.27%）， and the average hospital stay after successful reduction was （1.2±0.12） d， which were better than those of the control group [30.00%， （1.9±0.09） d]， the experimental group had better resetting effect. Conclusion Ultrasonography diagnosis and treatment of children with acute intussusception has a high success rate for treatment， safe， efficient， fewer complications， etc.， significantly increase the cure rate of chil