| 蒋贤辉.儿童小肠型肠套叠超声筛查及自发复位影响因素分析[J].浙江中西医结合杂志,2024,34(5): |
| 儿童小肠型肠套叠超声筛查及自发复位影响因素分析 |
| The Ultrasound Screening and Influencing Factors of Spontaneous Reduction of Small Bowel Intussusception |
| 投稿时间：2023-11-29 修订日期：2024-01-31 |
| DOI： |
| 中文关键词: 儿童 小肠型肠套叠? 超声 自发复位? 影响因素 |
| 英文关键词:Children, small bowel intussusception,Ultrasonography,Inducement Spontaneous Reset, Influence Factor |
| 基金项目:杭州市医药卫生科技计划重点项目(0020190172) |
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| 中文摘要: |
| 目的： 总结儿童小肠型肠套叠( small bowel intussusception,SBI)超声筛查特点,探讨影响儿童SBI自发复位的相关因素。方法：回顾分析我院2019年12月~2023年3月收治且临床资料保存完整的SBI患儿69例,根据临床治疗方式的不同分为对照组与治疗组两组,采用Logistic回归分析对SBI自发复位影响的相关因素进行统计学分析,探讨影响因素与患者SBI自发复位的相关性。结果：单因素分析显示,发热、炎症、腹痛持续时间、腹腔包块、果酱便、外界或药物刺激、套叠肠管长径、套叠肠管宽度、腹腔积液、腹腔肠系膜淋巴结肿大10项因素与SBI自发复位有密切相关性；多因素分析表明,患儿炎症、腹痛持续时间、腹腔包块、套叠肠管长径、套叠肠管宽度、果酱便是自发复位的主要影响因素。结论： 超声筛查是诊断儿童SBI比较准确与安全的影像学方法,根据儿童SBI自发复位影响因素,有针对性地开展儿童保健是提高儿童SBI自发复位的有效措施,为该类疾病的临床干预及临床咨询提供有利的依据。 |
| 英文摘要: |
| Objective To summarize the ultrasonic screening of small bowel intussusception (SBI) in infants and children, and discusse the related influencing factors of spontaneous reduction of SBI. Methods Sixty-nine patients with SBI admitted to our hospital from December 2019 to March 2023 with complete clinical data were divided into observation group and treatment group according to different treatment methods. Logistic Regression analysis was used to analyze the influencing factors of spontaneous SBI reposition, relationship between influencing factors and spontaneous reduction of SBI in children. Results The results of univariate analysis showed that fever, course of disease, inflammation, abdominal mass, jammy-like stools, drugs or external stimulation, intussusception diameter, intussusception length, abdominal effusion, mesenteric lymph node enlargement were closely related to spontaneous reduction of SBI. Logistic regression analysis showed that inflammation, course of disease, abdominal mass, intussusception diameter, intussusception length and jam shape were the main influencing factors. Conclusion Ultrasonography is a relatively accurate and safe imaging method for the diagnosis of SBI in children. According to the influencing factors of spontaneous reduction of SBI in children, targeted infant health care is an effective measure to improve spontaneous reduction of SBI in children, and provides a favorable basis for clinical intervention and consultation of this kind of disease. |
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