【摘要】 目的 如何从声象日上识别在X-线下行空气加压灌肠整复小儿肠套叠的成功与否。方法 回顾性分析由超声诊断小儿肠套叠139例,均经空气整复,其中79例空气整复成功,60例经1—3次空气整复不成功而手术。结果 空气整复成功患儿声像图为:圈外有圈的同心圆,每层厚度为0.15±0.02cm,手术患儿的同心圆声像图的环状暗带厚薄不均伴肠管局限性扩张、积液。结论 超声诊断能为临床提供小儿肠套叠能否行空气整复及成功的概率。更多还原

【Abstract】 Objective To distinguish the practicability of using pressure air enema under X - ray to revise infantile intussuseption from image signs.Methods One hundned and thirty nine cases of infantile intussusception diagnosed by ultrasound were retospectively analyzed, All of the 139 cases were revised by air enema. 79 cases were successively treated with this method. The other 60 cases failed by one to three times of air enema and accepted operations. Results The images of the children revised successively by air anema showed that the thickness of every layer of he concentric circles (circles out of circles) was 0.15 ±0.02 centimetres. The images of the children accepted operations showed the heterogeneous annular zones of the concentric circles and the local dilatation and hydrops of the intestinal canals. Conclusion Ultrasound could provide proofs decide if air enema could cure infantile intussusception.更多还原