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目的 探讨彩超诊断和彩超监视下水压灌肠治疗小儿急性套叠的方法和此项技术的应用价值。方法 应用彩色多普勒超声对 5 6例可疑小儿肠套叠进行检查。确诊肠套叠后 ,进行水压灌肠治疗。结果 肠套叠4 6例 ,水压灌肠成功 4 4例 ;失败的 2例 ,经手术证实均为肠套叠 ,其中 1例病理证实为霍奇金淋巴瘤 ,另 1例套叠时间超过 4 8h。结论 用彩超诊断和水压灌肠治疗小儿急性肠套叠可免 X-线照射 ,操作简便、易行 ,成功率高 ,是治疗急性肠套叠的首选方法 ,值得推广应用。
Objective To investigate the method of color Doppler ultrasonography and water enema under color Doppler ultrasound in children with acute intussusception and the value of this technique. Methods Fifty-six suspicious children with intussusception were examined by color Doppler ultrasonography. After diagnosis of intussusception, water enema treatment. The results of intussusception in 46 cases, 44 cases of hydrostatic enema; 2 cases of failure, confirmed by surgery were intussusception, 1 case confirmed Hodgkin’s lymphoma, another case of intussusception more than 4 8h. Conclusion The treatment of acute intussusception in children with color Doppler echocardiography and water enema is X-ray-free and is easy to operate and easy to operate with high success rate. It is the first choice for the treatment of acute intussusception and is worth popularizing and applying.