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目的总结分析儿童小肠套叠的临床特点及诊断方法提高儿童小肠套叠诊治水平。方法回顾性总结本院收治的60例小肠套叠患儿按照手术与非手术治疗分为两组,A组(非手术)、B组(手术);对两组患儿临床资料和超声影像资料进行对比和分析。结果60例小肠套叠病例中,非手术在治疗45例,手术治疗15例、非手术组所有患儿均为一过性肠套叠。平均复位时间为25~79min,手术组患儿为原发性的8例、小肠息肉4例、腺瘤性息肉1例、小肠畸形1例、美克尔憩室1例。两组患儿超声下套入的小肠长度及直径较比较(t=5.22、5.66,P<0.05,差异有统计学意义)。结论小肠套叠时间不超过70min,无机械形性肠梗阻可自行复位,超声检查小肠套叠长度大于5cm和或套叠直径>2.5cm时,考虑手术治疗。
Objective To summarize and analyze the clinical features and diagnosis of small intestine intussusception in children to improve the diagnosis and treatment of intussusception in children. Methods A retrospective review of 60 cases of small intestine intussusception admitted to our hospital was divided into two groups according to the operation and non-operation. Group A (non-operation) and group B (operation). The clinical data and ultrasound imaging data For comparison and analysis. Results Of the 60 cases of intussusception cases, 45 cases were treated nonoperatively and 15 cases were treated surgically. All patients in the non-operation group had transient intussusception. The mean time to reset was 25-79 minutes. There were 8 cases of primary surgery, 4 cases of small intestine polyps, 1 case of adenomatous polyps, 1 case of intestinal malformations and 1 case of Meckel’s diverticulum. The length and diameter of small intestine infused into the two groups were compared (t = 5.22,5.66, P <0.05, the difference was statistically significant). Conclusion Intestinal intussusception time does not exceed 70min, no mechanical intestinal obstruction can be reset, ultrasound examination of intestine intussusception length greater than 5cm and nested diameter> 2.5cm, consider surgery.