Wang G D, Liu S J
Department of Pediatric Surgery, No. 3 Affiliated Hospital, China Medical University, Shenyang, People's Republic of China.
J Pediatr Surg. 1988 Sep;23(9):814-8. doi: 10.1016/s0022-3468(88)80229-x.
Three hundred seventy-seven pediatric intussusception patients were treated by normal saline hydrostatic enema under ultrasound guidance from October 1985 to April 1987. Before reduction, the rate of correct diagnosis by ultrasonography was 100%, and the rate of successful reduction was 95.5% in this group. With this technique there is no risk of x-ray exposure to the patient. The definite criteria for reduction are discussed. Clear echogram was shown during reduction and the ileo-ileo-coli intussusception can be diagnosed. Intestinal perforation, if any, can be accurately recognized at once. This technique is believed to be one of the most promising methods in nonoperative treatment of pediatric intussusception.
1985年10月至1987年4月，377例小儿肠套叠患者在超声引导下接受生理盐水水压灌肠治疗。在复位前，该组超声检查的正确诊断率为100%，复位成功率为95.5%。采用这种技术，患者没有接受X线照射的风险。文中讨论了复位的明确标准。复位过程中显示清晰的超声图像，可诊断回-回-结肠型肠套叠。如有肠穿孔，可立即准确识别。该技术被认为是小儿肠套叠非手术治疗中最有前景的方法之一。
