دورية أكاديمية
أعرض في EDS

Comparison of Ultrasound Guided Saline Enema and X-ray-Guided Air Enema in the Treatment of Intussusception Reduction in Children.

التفاصيل البيبلوغرافية
العنوان: Comparison of Ultrasound Guided Saline Enema and X-ray-Guided Air Enema in the Treatment of Intussusception Reduction in Children.
المؤلفون: Lian DD; From the Department of Pediatric and Vascular Surgery, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University, Shandong Weihai, China., Sun C; Department of Gastrointestinal Surgery, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University, Shandong Weihai, China.
المصدر: Pediatric emergency care [Pediatr Emerg Care] 2024 Jul 01; Vol. 40 (7), pp. 532-535. Date of Electronic Publication: 2024 Feb 13.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8507560 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-1815 (Electronic) Linking ISSN: 07495161 NLM ISO Abbreviation: Pediatr Emerg Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore, Md. : Williams & Wilkins, [c1985-
مواضيع طبية MeSH: Intussusception*/therapy , Intussusception*/diagnostic imaging , Enema*/methods , Saline Solution*/administration & dosage, Humans ; Male ; Female ; Child, Preschool ; Infant ; Treatment Outcome ; Child ; Air ; Ultrasonography, Interventional/methods ; Fluoroscopy
مستخلص: Abstract: To compare the effect of ultrasound guided saline enema (USGSE) and x-ray fluoroscopic air enema in the reduction of intussusception in children, 80 children with intussusception were randomly divided into ultrasonic-guided saline enema reduction in 40 cases (USGSE group) and x-ray air enema reduction in 40 cases (air enema group). The enema pressure, success rate, average time, and cost of the 2 methods were compared. The average operation time of the USGSE group was lower than that of the air group ([5.35 ± 1.79] min vs [6.03 ± 2.41] min, P = 0.159), the average pressure of the air group was higher than that of the air group ([10.95 ± 1.54] kPa vs [9.6 ± 1.26] kPa; P < 0.001), the success rate of resetting was higher than that of the air group (87.5% vs 85.0%; P = 0.745), and the cost of USGSE was lower than that of the air group ([339.23 ± 10.73] yuan vs [378.23 ± 18.20] yuan, P < 0.001). Subgroup analysis showed that the success rate of enema treatment in children with onset time <48 hours was significantly higher than that in children with onset time ≥48 hours (98.30% vs 54.50%, continuous correction χ 2 = 22.16; P < 0.001). The success rate and operation time of USGSE in pediatric intussusception reduction are similar to that of air enema, and the advantages of low cost and no radiation are worthy of popularization. For children with onset time ≥48 hours, enema reduction is safe and effective, but the conversion rate to open is high. It is necessary to carefully identify the symptoms of intestinal perforation and necrosis on the basis of strictly following the indications to avoid delayed treatment.
Competing Interests: Disclosure: The author declares no conflict of interest.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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المشرفين على المادة: 0 (Saline Solution)
تواريخ الأحداث: Date Created: 20240213 Date Completed: 20240701 Latest Revision: 20240701
رمز التحديث: 20240701
DOI: 10.1097/PEC.0000000000003113
PMID: 38349384
قاعدة البيانات: MEDLINE
الوصف
تدمد:1535-1815
DOI:10.1097/PEC.0000000000003113