The effectiveness and safety of ultrasound-guided hydrostatic reduction for pediatric acute intussusception
10.3760/cma.j.cn131148-20210330-00219
- VernacularTitle:儿童肠套叠超声下水灌肠复位术的有效性和安全性
- Author:
Liezhen HU
1
;
Bei XIA
;
Tingting LIU
;
Tingting DING
;
Wei YU
;
Jinlong DENG
;
Jia LI
;
Zhou LIN
;
Hongwei TAO
;
Shumin FAN
;
Xia FENG
;
Lei LIU
;
Na XU
;
Jianxiong MAO
;
Chi ZHANG
;
Dong XIAO
;
Bin WANG
;
Xiaopeng MA
Author Information
1. 深圳市儿童医院超声影像科 518026
- Keywords:
Ultrasonography;
Intussusception;
Hydrostatic reduction;
Children
- From:
Chinese Journal of Ultrasonography
2021;30(9):800-805
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness and safety of ultrasound-guided hydrostatic reduction for pediatric acute intussusception.Methods:One thousand eight hundred and thirty patients with acute intussusception diagnosed by ultrasound in Shenzhen Children′s Hospital from September 2017 to July 2020 were treated with ultrasound-guided hydrostatic reduction method. The therapeutic effects, complications and ultrasonic features were observed.Results:Among 1 830 cases, 1 791 cases were diagnosed as primary intussusception, and 39 cases were secondary intussusception. The overall rate of successful ultrasound enema reduction were 1 780/1 830(93.7%) patients. All 50/1 830(2.7%) patients underwent surgery after unsuccessful enema reduction, including 42 cases of primary intussusception, and 8 cases of secondary intussusception. The complication of intestinal perforation occurred in 3 cases (0.16%), and there were no deaths.Conclusions:Ultrasound-guided enema reduction for pediatric acute intussusception is an effective and safe method without radiation exposure, and can be used as the preferred method for non-operative treatment of intussusception.
