Li Huan,Wang Xin,Yang Hu,et al.Ultrasound-guided hydrostatic reduction versus fluoroscopy-guided air reduction for pediatric primary intussusception: a single-center retrospective study of 949 cases[J].Journal of Clinical Pediatric Surgery,,22():988-991.[doi:10.3760/cma.j.cn101785-202203072-016]
Ultrasound-guided hydrostatic reduction versus fluoroscopy-guided air reduction for pediatric primary intussusception: a single-center retrospective study of 949 cases
- Keywords:
- Intussusception; Enema; Treatment Outcome; Child
- Abstract:
- Objective To compare the efficacy and safety of ultrasound-guided hydrostatic reduction (UGHR) versus fluoroscopy-guided air reduction (FGAR) for primary intussusception in children.Methods A single-center retrospective analysis was performed for 949 children with primary intussusception from July 2019 to December 2020.According to the reduction approaches,they were assigned into two groups of UGHR (n=471) and FGAR (n=478).Gender,age,onset time,reduction success rate,perforation rate,recurrence rate and reduction time of two groups were compared.Results No significant inter-group differences existed in gender,age or onset time (P>0.05).Reduction success rate of UGHR group was higher than that of FGAR group (98.3% vs.93.9%)(P<0.05).In children with onset time <48 h,reduction success rate of UGHR group was higher than that of FGAR group (98.0% vs.93.3%)(P<0.05).In children aged <1 year,reduction success rate was significantly higher in UGHR group than that in FGAR group (96.7% vs.82.9%)(P<0.05).Conclusion In children with onset time <48 h and age <1 year,the efficacy of UGHR is better than that of FGAR.Thus UGHR is a preferred treatment for intussusception.
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Memo
收稿日期:2022-3-23。
基金项目:武汉儿童医院临床医学科研项目(2021FE014)
通讯作者:杨俊,Email:yang12391@tom.com