Diagnostic value of 0.9％ sodium chloride solution enema towards secondary intussusception in children under ultrasound / 中国基层医药

ABSTRACT

Objective To discussion of secondary intussusception in children based on ultrasound image,and the diagnosis and the therapeutic value.Methods 23 cases of secondary intussusception in children by the ultrasound image were reviewed and pathogeny analyzed.Results Within this 23 cases of secondary intussusception in children8 cases in 23 cases were caused by Meckel di-verticulum,4 cases were caused by juvenile polyps,4 cases were caused by intestinal duplication,3 cases were caused by intestinal lymphoma,2 were caused by appendicitis,and 2 cases were caused by intestinal adhesion.And 23 cases of them were all detected by ultrasound at the very first time.22 cases of 23 cases was operated by hydrostatic enema of ultrasonic monitoring treating intussusception successfully,and 1 failed.13 cases were confirmed as secondary intussusception after first enema (Meckel di-verticulum 6 cases,juvenile polyps 3 cases,intestinal duplication 2 cases,intestinal lymphoma 1,and appendicitis 1 cases).9 cases were operated by hydrostatic enema of ultrasonic monitoring treating intussusception again when palindromia happened,which were confirmed as secondary intussusception (Meckel di-verticulum 2 cases,juvenile polyps 1 cases,intestinal duplication 2 cases,intestinal lymphoma 2 cases,appendicitis 1 cases,and intestinal adhesion 1 cases).Conclusion Meckel di-verticulum,juvenile polyps and intestinal duplication are the most common pathologic lead points caused the secondary intussusception in children.The diagnosis of ultrasound is sensitive to children secondary intussusception,and hydrostatic enema of ultrasonic monitoring treating intussusception can be operated under ultrasonic monitoring,which has an even better result than air enema under X-ray.The situation of bowel,which is full of 0.9％ sodium chloride solution,gives operators a good effect of visual to find pathologic lead points.And that really helps to provide valuable image in accordance with clinical surgery therapy of secondary intussusception.