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超声导向还原失败的决定因素和儿科内肠接的病理领先点

Yannick Braun¹, Henning C Fiegel¹, Udo Rolle¹

¹Department of Pediatric Surgery and Pediatric Urology, Goethe University Frankfurt, University Medicine, Frankfurt, Germany.

Pediatric surgery international

|February 16, 2026

概括

超声导向的水静态盐水浸泡 (USGSE) 是有效的儿科内肠. 长时间的症状和血预示着USGSE失败,这强烈地表明需要手术评估的病理领先点.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
放射学放射学是指放射学

背景情况:

肠接是儿童肠道阻塞的主要原因.
超声导向的水静态盐水浸泡 (USGSE) 是标准的非手术治疗方法.
预测USGSE失败和病理领先点 (PLP) 的预测因素需要进一步定义.

研究的目的:

为了确定USGSE减少失败的预测因子,在儿科伊利奥科利内肠.
确定与病理领先点 (PLP) 相关的因素.

主要方法:

从2012年至2022年,对儿科患者 (<18岁) 进行了回顾性审查,这些患者患有大脑内肠静脉封闭症.
分析临床变量,包括症状持续时间,吐,血和年龄.
后勤回归模型用于识别USGSE失败和PLP的预测因素.

主要成果:

总体而言,USGSE的成功率为76.92%.
症状持续时间>24小时,血,年龄较小预测USGSE失败.
失败的USGSE是PLP (OR 107.26) 的一个强有力的预测因素,其中梅克尔分歧是最常见的.

结论:

USGSE是一种安全有效的治疗儿科大脑内.
长时间的症状和血便表明减少失败的风险更高.
失败的USGSE需要立即评估潜在的PLP和潜在的手术干预.

关键词:

通过水静电减速进行减速.输入性受精 (Intussusception) 这是一个非常重要的过程.病理领先点病理领先点预测因素是指预测因素.超声波指导的阴囊.

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