Risk factors for recurrent intussusception in children after ultrasound-guided saline enema reduction
10.3760/cma.j.cn113855-20230810-00047
- VernacularTitle:超声引导下水压灌肠复位小儿肠套叠复发的危险因素分析
- Author:
Xiangyu ZHANG
1
;
Heying YANG
;
Yan'an LI
;
Ming YUE
;
Fei GUO
;
Mingxia CUI
;
Dazhi REN
;
Yan LI
;
Beibei SUN
Author Information
1. 郑州大学第一附属医院小儿外科，郑州 450000
- Keywords:
Intussusception;
Enema;
Recurrence;
Risk faetor
- From:
Chinese Journal of General Surgery
2024;39(2):126-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors for recurrence of intussusception in children after successful ultrasound-guided saline enema reduction.Methods:The clinical and follow up data of 355 hospitalized children with intussusception at the First Affiliated Hospital of Zhengzhou University from Feb 2018 to Feb 2023 were reviewed.Patients were divided into two groups by recurrence develped and the differences were compared, Data with significant differences were incorporated into multi-factor logistic analysis.Results:The overall recurrence rate was 15.8% (56/355). By univariate variable analysis model, there were statistically significant differences between the two groups in age, previous intussusception history, vomiting, maximum diameter of concentric circles shown by ultrasound, and concurrent bowel organic diseases (lead points) (all P<0.05). In multivariate Logistic regression model, age, previous intussusception history, maximum diameter of concentric circles, and lead points were independent risk factors for recurrent intussusception after saline enema.The optimal cut-off values for age and maximum diameter of concentric circles were 2 years and 33.5 mm, respectively, according to ROC curve analysis. Conclusion:Age older than 2 years, previous intussusception history, maximum diameter of concentric circles longer than 33.5 mm, and lead points are independent risk factors for recurrence after saline enema.
