Ko Hyun Soo, Schenk Jens Peter, Tröger Jochen, Rohrschneider Wiltrud K
Department of Pediatric Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 153, 69120 Heidelberg, Germany.
Eur Radiol. 2007 Sep;17(9):2411-21. doi: 10.1007/s00330-007-0589-y. Epub 2007 Feb 17.
Intussusception is the most common abdominal emergency situation in infants and small children. There has been great progress in diagnostic and therapeutic management of intussusception. Ultrasound (US) has been shown to be the first-choice imaging technique in diagnosing intussusception for reasons of high accuracy, simultaneous exclusion of differential diagnoses, and disclosure of additional pathologies. Controversial opinions exist worldwide concerning the nonoperative treatment of intussusception in infants and children. Pneumatic reduction under fluoroscopic guidance and hydrostatic reduction under US monitoring are the preferred techniques. The aim should be a success rate of at least 90% in idiopathic intussusception. This review summarizes different types of intussusception and outlines diagnostic aspects as well as several treatment concepts.
肠套叠是婴幼儿最常见的腹部急症情况。在肠套叠的诊断和治疗管理方面已经取得了很大进展。超声(US)已被证明是诊断肠套叠的首选成像技术,原因是其准确性高、能同时排除鉴别诊断以及可发现其他病变。关于婴幼儿肠套叠的非手术治疗,世界各地存在争议性观点。透视引导下的空气灌肠复位和超声监测下的水压灌肠复位是首选技术。目标应是特发性肠套叠的成功率至少达到90%。本综述总结了不同类型的肠套叠,概述了诊断方面以及几种治疗理念。