ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (2): 182-184.doi: 10.3969/j.issn.1674-3865.2016.02.019

• 临床研究 • 上一篇    下一篇

小儿继发性肠套叠的超声特征

张杰，刘凌萍，杨芳，张号绒，陈文娟   

  1. 410007 长沙，湖南省儿童医院特检科
  • 出版日期:2016-04-25 发布日期:2018-11-19
  • 通讯作者: 陈文娟，E-mail：zhangjieyisheng888@126.com
  • 作者简介:张杰(1984-)，女，医学硕士，医师。研究方向：小儿疾病的超声检查

Sonographic features of children with secondary intussusception

ZHANG Jie，LIU Lingping，YANG Fang，ZHANG Haorong，CHEN Wenjuan   

  1. Hunan Children′s Hospital，Changsha 410007，China.
  • Online:2016-04-25 Published:2018-11-19

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108

摘要：
目的：总结小儿继发性肠套叠的超声表现，为临床治疗方案提供一定的依据。
方法：2011年1月至2014年1月湖南省儿童医院特检科检查确诊为继发性肠套叠患儿43例，均在术前经超声诊断并行手术病理证实，总结不同原发病的儿童继发性肠套叠的超声表现。
结果：肠道淋巴瘤6例，肠息肉10例，肠源性囊肿8例，梅克尔憩室7例，克隆恩病3例，阑尾炎2例，过敏性紫癜3例，出血坏死性小肠炎2例，血管脂肪瘤1例，先天性小肠狭窄1例。
结论：对于小儿继发性肠套叠，超声可以发现及确诊部分原发病，是寻找套叠原因的首选检查方法，且婴儿继发性肠套叠的原发病以肠源性囊肿多见；学龄前儿童及学龄儿童以肠息肉、梅克尔憩室多见，学龄儿童反复肠套患儿需排查肠道淋巴瘤、克隆恩病，新生儿肠套叠需排除先天性小肠狭窄。

关键词: 继发性肠套叠, 超声特征, 儿童

Abstract:
Objective:To summarize the sonographic findings of children with secondary intussusception and provide a basis for clinical treatment.
Methods:The sonographic features generated by the causes in 43 cases of secondary intussusceptions in children in Hunan Children′s Hospital from January 2011 to January 2014 were retrospectively analysed and summarized,which were diagnosed by preoperative ultrasound and confirmed by surgery and pathology.
Results:Intestinal lymphoma was found in 6 cases,and there were 10 cases of colon polyps and 8 cases of enterogenous cyst;the Meckler′s diverticulum was found in 7 cases,and there were 3 cases of Crohn′s disease,2 cases of appendicitis and 3 cases of allergic purpura;small hemorrhage necrotizing enteritis was found in 2 cases,blood vessel lipoma in 1 case,congenital intestinal stenosis in 1 case.
Conclusion:For children with secondary intussusception,ultrasound can be used to confirm part of the primary disease,which could be the best option for detecting the cause of intussusception.In infants with secondary intussusception,often the primary disease is enterogenous cyst;in preschool children and school-age children,intestinal polyps and Merkel diverticulum are common;school-age children and children with recurrent intussusception need to be checked for the intestinal lymphoma and Crohn′s disease while congenital intestinal stenosis should be ruled out in intestinal stenosis.

Key words: Secondary intussusception, Ultrasonographic features, Children