Clinical Institute of Radiology, University Medical Centre Ljubljana, Zaloška cesta 7, 1000 Ljubljana, Slovenia.
University of Ljubljana Faculty of Medicine, Ljubljana, Slovenia.
AJR Am J Roentgenol. 2020 Dec;215(6):1449-1463. doi: 10.2214/AJR.19.22445. Epub 2020 Oct 21.
Intussusception is the most common cause of intestinal obstruction in young children. Radiology has a key role in its diagnosis and treatment. This systematic review summarizes the currently available evidence for best practices in radiologic management of pediatric intussusception. High diagnostic accuracy and lack of ionizing radiation make ultrasound (US) the preferred imaging modality for diagnosing intussusception. For intussusception reduction, fluoroscopy-guided pneumatic enema and US-guided hydrostatic enema are equally dependable and safe techniques. The areas that warrant further research in this field include the efficacy and safety of the US-guided pneumatic enema, potential benefits of sedation and general anesthesia for the reduction procedure, and the optimal management of intussusceptions potentially involving pathologic lead points.
肠套叠是小儿肠梗阻最常见的原因。放射学在其诊断和治疗中具有关键作用。本系统综述总结了目前有关小儿肠套叠放射学管理最佳实践的证据。超声检查（US）具有较高的诊断准确性且不存在电离辐射，因此成为诊断肠套叠的首选影像学方法。对于肠套叠复位，透视引导下的气动灌肠和 US 引导下的水压灌肠是同样可靠和安全的技术。在该领域需要进一步研究的领域包括 US 引导下气动灌肠的疗效和安全性、镇静和全身麻醉对复位过程的潜在益处，以及可能涉及病理性铅点的肠套叠的最佳治疗方法。
