肠套叠：空气灌肠期间获得的透视图像描绘引导点及其他异常情况的能力。
Intussusception: ability of fluoroscopic images obtained during air enemas to depict lead points and other abnormalities.
作者信息
Miller S F, Landes A B, Dautenhahn L W, Pereira J K, Connolly B L, Babyn P S, Alton D J, Daneman A
机构信息
Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, Ontario, Canada.
出版信息
Radiology. 1995 Nov;197(2):493-6. doi: 10.1148/radiology.197.2.7480700.
PURPOSE
To evaluate the ability of fluoroscopic images obtained during air enemas to depict or exclude lead points of intussusceptions and other abnormalities that require surgical treatment in the absence of intussusception.
MATERIALS AND METHODS
The clinical, radiologic, surgical, and pathologic findings were reviewed in 14 patients with lead points or other lesions.
RESULTS
Fluoroscopic images failed to depict a lead point in 10 patients. The air enema easily reduced intussusceptions with benign lead points in seven patients. Fluoroscopic images depicted pathologic lead points in two patients and were normal in two patients with intussusception. Fluoroscopic images failed to depict an abnormality that required surgery in the absence of intussusception in two patients.
CONCLUSION
Successful reduction of an intussusception does not always rule out a lead point. Other imaging studies, the patient's condition, and laparotomy may also be necessary to diagnose and treat lead points and other lesions.
目的
评估空气灌肠期间获得的透视图像描绘或排除肠套叠的引导点以及在无肠套叠情况下需要手术治疗的其他异常的能力。
材料与方法
回顾性分析14例有引导点或其他病变患者的临床、放射学、手术及病理结果。
结果
透视图像未能显示10例患者的引导点。空气灌肠使7例具有良性引导点的肠套叠易于复位。透视图像显示2例患者的病理性引导点，2例肠套叠患者的图像正常。透视图像未能显示2例无肠套叠但需要手术治疗的异常情况。
结论
肠套叠成功复位并不总是排除引导点。其他影像学检查、患者情况及剖腹手术对于诊断和治疗引导点及其他病变可能也是必要的。
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