van den Ende E D, Allema J H, Hazebroek F W J, Breslau P J
Red Cross and Juliana Children's Hospital, The Hague, Netherlands.
Arch Dis Child. 2005 Oct;90(10):1071-2. doi: 10.1136/adc.2004.066332. Epub 2005 Jun 7.
It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to presentation.
To prospectively evaluate success in relation to duration of symptoms.
Prospective study in which children, regardless of symptom duration, underwent an attempt at hydrostatic reduction.
Of 113 children presenting with intussusception, 16 had peritonitis and required immediate laparotomy. A hydrostatic reduction was attempted in 97 and was successful in 77 (79%). There were 26 successful reductions with symptoms <12 hours (81%), 30 with symptoms for 12-24 hours (81%), and 21 with symptoms >24 hours (75%).
The success rate with hydrostatic reduction was not significantly influenced by symptom duration.
人们普遍认为,对于就诊前症状持续时间较长的儿童,肠套叠水压复位的成功率较低。
前瞻性评估与症状持续时间相关的成功率。
进行前瞻性研究,无论症状持续时间如何,对儿童进行水压复位尝试。
113例肠套叠患儿中,16例有腹膜炎,需立即行剖腹手术。97例尝试进行水压复位,77例成功(79%)。症状<12小时的患儿中有26例复位成功(81%),症状持续12 - 24小时的患儿中有30例成功(81%),症状>24小时的患儿中有21例成功(75%)。
症状持续时间对水压复位成功率无显著影响。