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1、小儿急性肠套叠腹部平片特点分析胡学林(四川乐山峨边彝族自治县人民医院放射科614300)【摘要】目的木文将对小儿急性肠套叠患儿进行临床分析，从而探讨小儿急性肠套叠腹部平片特点，为临床提高小儿急性肠套叠患儿诊断正确率，最终提高患儿治疗效果与牛.活质量提供可靠依据。方法对24例急性肠套叠患儿均进行临床腹部X线平片检查，检查范围为患儿腹部全面扫描，并拍摄腹部平片。选取一至两名具有临床经验以及专业知识的医学影像检验人员对所有患儿完成检查，并记录检查结果。结果24例小儿急性肠套叠患儿均经X线腹部平片检查，且经空气灌肠进一步
2、证实诊断，X线腹部平片检查准确人数为16例，准确率为66.67%;患儿发病至就诊间隔时间越长，则完全性肠梗阻发生率越高。结论对小儿急性肠套叠患儿进行腹部X线平片检查，患儿病情诊断正确率较低，因此仅作为辅助临床检查手段，若需进行确诊还应对其进行空气灌肠或B超检查。但对患儿进行腹部X线平片仍具有一定意义，如患儿腹部平片检查可知体内出现局限性积气,且发现结肠内部充盈缺失，可基木明确诊断患儿病情。【关键词】小儿急性肠套叠腹部平片特点分析【中图分类号】R445【文献标识码】A【文章编号】2095-1752(2013)02-
3、0116-01PediatricacuteintussusceptionabdominalplainfilmcharacteristicsanalysisHuXuelinSichuanLeshanEbianYiNationalityAutonomousCountyPeople'sHospital,Radiology,614300【Abstract】Objective:Thispaperwillbeofpediatricacuteintussusceptioninchildrenclinicalanalysisof
4、pediatricacuteintussusception,abdominalplainfilmcharacteristics,toimprovetheclinicalpediatricacuteintussusceptiondiagnosticaccuracy,andultimatelyimprovetreatmentoutcomesandqualityoflifetoprovidereliablebasis.Methods:24casesofacuteintussusceptioninchildrenunde
5、rwentclinicalplainabdominalradiography,checktherangeforchildrenabdominalfullscan,andshoottheabdominalplainfilm.Selectonetotwowithclinicalexperienceandprofessionalknowledgeofthemedicalimageinspectionpersonnelofallchildrentocompletetheexamination,andrecordthein
6、spectionresults.Results:24casesofpediatricacuteintussusceptionwereconfirmedbyX-rayexamination,andafterfurtherconfirmedthediagnosisofairenema,abdominalplainfilmX-rayexaminationexactnumbersfor16patients,theaccuraterateis66.67%;theincidenceofchildrenwithtothetre
7、atmentintervaltimeislong,isacompleteintestinalobstructionoccurrencerateishigh.Conclusion:lnpediatricacuteintussusceptioninchildrenwithplainabdominalradiographyindiagnosis,correctrateislow,soonlyasanauxiliarymeansofclinicalexamination,ifrequiredfordiagnosisals
8、oshouldcarryoutairenemaorBultrasoundexamination.Butthechildrenweregivenplainabdominalradiographystillhasacertainsignificance,suchasinchildrenwithabdominalplainfilmexaminationthatoccuredin
