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肠套叠:过去、现在与未来。

Intussusception: past, present and future.

作者信息

Edwards Emily A, Pigg Nicholas, Courtier Jesse, Zapala Matthew A, MacKenzie John D, Phelps Andrew S

机构信息

Department of Radiology and Biomedical Imaging, Benioff Children's Hospital, University of California San Francisco, 505 Parnassus Ave, San Francisco, CA, 94143, USA.

Touro University College of Osteopathic Medicine, Vallejo, CA, USA.

出版信息

Pediatr Radiol. 2017 Aug;47(9):1101-1108. doi: 10.1007/s00247-017-3878-x. Epub 2017 Aug 4.

DOI:10.1007/s00247-017-3878-x
PMID:28779197
Abstract

Intussusception is a common etiology of acute abdominal pain in children. Over the last 70 years, there have been significant changes in how we diagnose and treat intussusception, with a more recent focus on the role of ultrasound. In this article we discuss historical and current approaches to intussusception, with an emphasis on ultrasound as a diagnostic and therapeutic modality.

摘要

肠套叠是儿童急性腹痛的常见病因。在过去70年里,我们诊断和治疗肠套叠的方式发生了显著变化,最近更关注超声的作用。在本文中,我们讨论肠套叠的历史和当前治疗方法,重点是超声作为一种诊断和治疗手段。

相似文献

1
Intussusception: past, present and future.肠套叠:过去、现在与未来。
Pediatr Radiol. 2017 Aug;47(9):1101-1108. doi: 10.1007/s00247-017-3878-x. Epub 2017 Aug 4.
2
Intussusception in infants and children: diagnosis and therapy.婴幼儿肠套叠:诊断与治疗
Radiology. 1988 Jul;168(1):141-5. doi: 10.1148/radiology.168.1.3289087.
3
Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings.儿童肠套叠复位失败:放射学、手术及病理学检查结果的相关性
AJR Am J Roentgenol. 2016 Aug;207(2):424-33. doi: 10.2214/AJR.15.15659. Epub 2016 May 25.
4
The 'ins' and 'outs' of intussusception: Where best practice reduces the need for surgery.肠套叠的“来龙去脉”:最佳实践如何减少手术需求
J Paediatr Child Health. 2017 Nov;53(11):1118-1122. doi: 10.1111/jpc.13738.
5
Ultrasound-guided hydrostatic enema reduction of intussusception and confirmation with single abdominal radiograph in children.超声引导水压灌肠复位小儿肠套叠并单次腹部平片确认
J Clin Ultrasound. 2021 Jun;49(5):451-455. doi: 10.1002/jcu.23012. Epub 2021 Mar 29.
6
Sonographic guidance of air enema for intussusception reduction in children.超声引导下儿童肠套叠空气灌肠复位术
Pediatr Radiol. 2000 May;30(5):339-42. doi: 10.1007/s002470050754.
7
[Intussusception: diagnosis and treatment with saline enema under ultrasound].
Harefuah. 1995 Feb 1;128(3):135-8, 200.
8
Fluoroscopy-guided hydrostatic reduction of intussusception in infancy: role of pharmacological premedication.透视引导下婴儿肠套叠水压复位术:药物预处理的作用
Radiol Med. 2015 Jun;120(6):549-56. doi: 10.1007/s11547-014-0486-9. Epub 2015 Jan 9.
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Practical Imaging Strategies for Intussusception in Children.小儿肠套叠的实用影像学策略。
AJR Am J Roentgenol. 2020 Dec;215(6):1449-1463. doi: 10.2214/AJR.19.22445. Epub 2020 Oct 21.
10
Air reduction of intussusception.
Eur J Pediatr Surg. 2002 Dec;12(6):387-90. doi: 10.1055/s-2002-36852.

引用本文的文献

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Heat exposure impacts the incidence of intussusception in children.热暴露会影响儿童肠套叠的发病率。
Pediatr Res. 2025 May 23. doi: 10.1038/s41390-025-04133-7.
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Clinical manifestation and treatment of intussusception in children aged 3 months and under : a single centre analysis of 38 cases.3个月及以下儿童肠套叠的临床表现与治疗:38例单中心分析
BMC Pediatr. 2025 Mar 26;25(1):233. doi: 10.1186/s12887-025-05410-4.
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Development and validation of a deep learning algorithm for prediction of pediatric recurrent intussusception in ultrasound images and radiographs.

本文引用的文献

1
Epidemiology of intussusception in New Zealand pre-rotavirus vaccination.新西兰轮状病毒疫苗接种前肠套叠的流行病学
N Z Med J. 2016 Sep 23;129(1442):36-45.
2
Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings.儿童肠套叠复位失败:放射学、手术及病理学检查结果的相关性
AJR Am J Roentgenol. 2016 Aug;207(2):424-33. doi: 10.2214/AJR.15.15659. Epub 2016 May 25.
3
Sonography of Abdominal Pain in Children: Appendicitis and Its Common Mimics.儿童腹痛的超声检查:阑尾炎及其常见的模仿疾病。
用于预测超声图像和X光片中儿童复发性肠套叠的深度学习算法的开发与验证
BMC Med Imaging. 2025 Mar 3;25(1):67. doi: 10.1186/s12880-025-01582-8.
4
Case Report: Acute intussusception in a 2-year-old male patient: a rare case of Burkitt's lymphoma coexisting with Meckel's diverticulum.病例报告:一名2岁男性患者的急性肠套叠:1例罕见的伯基特淋巴瘤合并梅克尔憩室病例。
Front Pediatr. 2024 Dec 5;12:1489118. doi: 10.3389/fped.2024.1489118. eCollection 2024.
5
[Feature detection of B-ultrasound images of intussusception in children based on improved YOLOv8n].基于改进YOLOv8n的小儿肠套叠B超图像特征检测
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2024 Oct 25;41(5):903-910. doi: 10.7507/1001-5515.202401017.
6
Risk factors of bowel perforation during hydrostatic enema reduction for paediatric intussusception.肠套叠水压灌肠复位术致肠穿孔的危险因素。
Ann Med. 2024 Dec;56(1):2417181. doi: 10.1080/07853890.2024.2417181. Epub 2024 Oct 23.
7
Practice variation in the management of pediatric intussusception: a narrative review.小儿肠套叠治疗的实践差异:叙述性综述。
Eur J Pediatr. 2024 Nov;183(11):4897-4904. doi: 10.1007/s00431-024-05759-1. Epub 2024 Sep 12.
8
Impact of a 6-12-h delay between ileocolic intussusception diagnostic US and fluoroscopic reduction on patients' outcomes.回结肠套叠诊断性超声与透视下复位之间延迟6至12小时对患者预后的影响。
Pediatr Radiol. 2024 Jul;54(8):1294-1301. doi: 10.1007/s00247-024-05960-2. Epub 2024 Jun 6.
9
Epidemiological characteristics, treatment, and outcomes of 586 cases of intussusception: a 4-year retrospective study in China.586例肠套叠的流行病学特征、治疗及结果:中国一项为期4年的回顾性研究
Front Pediatr. 2024 May 14;12:1379168. doi: 10.3389/fped.2024.1379168. eCollection 2024.
10
A comprehensive scoring system for the better prediction of bowel resection in pediatric intussusception.一种用于更好预测小儿肠套叠肠切除术的综合评分系统。
BMC Gastroenterol. 2024 May 22;24(1):180. doi: 10.1186/s12876-024-03243-6.
J Ultrasound Med. 2016 Mar;35(3):627-35. doi: 10.7863/ultra.15.04047. Epub 2016 Feb 18.
4
Meta-analysis of Air Versus Liquid Enema for Intussusception Reduction in Children.空气灌肠与液体灌肠治疗儿童肠套叠复位效果的Meta分析
AJR Am J Roentgenol. 2015 Nov;205(5):W542-9. doi: 10.2214/AJR.14.14060.
5
Nonsurgical management of childhood intussusception: retrospective comparison between sonographic and fluoroscopic guidance.儿童肠套叠的非手术治疗:超声引导与透视引导的回顾性比较
J Ultrasound Med. 2015 Jan;34(1):59-63. doi: 10.7863/ultra.34.1.59.
6
Current methods for reducing intussusception: survey results.当前减少肠套叠的方法:调查结果
Pediatr Radiol. 2015 Apr;45(5):667-74. doi: 10.1007/s00247-014-3214-7. Epub 2014 Nov 29.
7
Perforated appendicitis: an underappreciated mimic of intussusception on ultrasound.穿孔性阑尾炎:超声检查中一种未被充分认识的肠套叠模仿病症。
Pediatr Radiol. 2014 May;44(5):535-41. doi: 10.1007/s00247-014-2873-8. Epub 2014 Jan 26.
8
Ileocolic versus small-bowel intussusception in children: can US enable reliable differentiation?回肠-小肠型肠套叠与小肠型肠套叠在儿童中的比较:超声检查能否可靠地区分?
Radiology. 2013 Oct;269(1):266-71. doi: 10.1148/radiol.13122639. Epub 2013 Jun 25.
9
Comparison of 2-view abdominal radiographs with ultrasound in children with suspected intussusception.疑似肠套叠儿童的腹部双视图X线片与超声检查的比较。
Pediatr Emerg Care. 2013 Feb;29(2):145-50. doi: 10.1097/PEC.0b013e3182808af7.
10
External manual reduction of paediatric idiopathic ileocolic intussusception with US assistance: a new, standardised, effective and safe manoeuvre.超声引导下经皮外部手动复位治疗小儿特发性回盲肠型肠套叠:一种新的、标准化的、有效且安全的操作方法。
Pediatr Radiol. 2012 Oct;42(10):1197-204. doi: 10.1007/s00247-012-2424-0. Epub 2012 Aug 9.