CT features of the recurrent intussusception in pediatric patients after air-enema intestinal reduction and analysis of its influencing factors
10.3969/j.issn.1008-794X.2024.10.015
- VernacularTitle:肠套叠空气灌肠复位后复发患儿CT特征及影响因素分析
- Author:
Mei YANG
1
;
Wenlin SONG
;
Weiwei ZHU
;
Yunjian GAO
Author Information
1. 215200 江苏苏州 苏州市吴江区儿童医院放射科
- Keywords:
intussusception;
child;
risk factor;
recurrence;
air-enema;
CT
- From:
Journal of Interventional Radiology
2024;33(10):1121-1124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the CT features of the recurrent intussusception in pediatric patients after air-enema intestinal reduction,and to analyze its influencing factors.Methods The clinical data of child patients with intussusception,whose diagnosis was initially confirmed and treated with air-enema intestinal reduction at the Children's Hospital of Soochow University from January 2020 to May 2022,were retrospectively analyzed.The general data,clinical characteristics and CT imaging findings were collected.Logistic regression analysis was used to determine the factors related to the recurrence of the intussusception.Results A total of 162 child patients were enrolled in this study,among them 103 child patients were males,the mean age was 2.3 years(3 months to 5 years).Thirty-two children(19.75％,recurrent group)developed in-hospital recurrence of intussusception after successful air-enema intestinal reduction.Univariate analysis showed that the incidences of intussusception length,intussusception thickness,target-shaped mass sign,comet's tail sign and enlarged mesenteric lymph nodes in the recurrent group were remarkably higher than those in the non-recurrent group,the differences were statistically significant(all P＜0.05).No statistically significant difference in the incidence of ascites existed between the two groups(P＞0.05).Multivariate logistic regression analysis revealed that age＞3 years(OR=2.10,95％CI=1.25-2.94,P＜0.01),enlarged mesenteric lymph nodes(OR=2.05,95％CI=1.07-2.68,P＜0.01),and the target-shaped mass sign(OR=3.32,95％CI=1.53-6.62,P＜0.01)were the independent influencing factors for the recurrence of intussusception in child patients with intussusception after receiving air-enema intestinal reduction.Conclusion Age＞3 years,enlarged mesenteric lymph nodes and target-shaped mass sign are the risk factors for the recurrence of intussusception in child patients with intussusception after receiving air-enema intestinal reduction.
