Wood S K, Kim J S, Suh S J, Paik T W, Choi S O
Department of Radiology, Keimyung University School of Medicine, Chungku, Taegu, Korea.
Radiology. 1992 Jan;182(1):77-80. doi: 10.1148/radiology.182.1.1727313.
Over a 30-month period, real-time ultrasound (US) was performed in 116 children with suspected intussusception. US findings were positive in all 75 cases of intussusception. Except in one case of transient small-bowel intussusception, the authors immediately attempted US-guided hydrostatic reduction in all cases. Reduction was successful in 63 cases (85%), as demonstrated with US and resolution of signs and symptoms of intussusception. Negative sonograms were confirmed with clinical follow-up. Among 11 failed cases, reduction with barium enema was attempted in six, but all attempts failed. No complications have occurred to date. The authors conclude that US is a reliable diagnostic screening modality in cases of suspected intussusception and that US-guided hydrostatic reduction is a promising technique in nonoperative treatment.
在30个月的时间里，对116例疑似肠套叠的儿童进行了实时超声（US）检查。在所有75例肠套叠病例中，超声检查结果均为阳性。除1例短暂性小肠套叠外，作者对所有病例均立即尝试进行超声引导下的水压复位。63例（85%）复位成功，超声检查及肠套叠体征和症状的缓解均证实了这一点。阴性超声检查结果通过临床随访得以证实。在11例复位失败的病例中，6例尝试进行钡剂灌肠复位，但均未成功。迄今为止未发生并发症。作者得出结论，超声是疑似肠套叠病例中一种可靠的诊断筛查方式，超声引导下的水压复位是一种有前景的非手术治疗技术。
