Abstract：Objective: To investigate the feasibility of ultrasound-guided warm saline enema therapy in infants with acute intussusception. Methods: The clinical data of patients with infant acute intussusception from Jan. 2010 to Dec. 2014 were collected and analyzed retrospectively． Patients were divided into operation and warm saline enema groups． Results: There were 92 cases of infant acute intussusception(50 males and 42 females, age ranging from 3 months to 8 years), 61 patients were cured with warm saline enema and 31 patients underwent surgery. The mean length, diameter and thickness of the intussusception were 3.54 cm, 1.78 cm and 0.36 cm respectively in the warm saline enema group, and 6.48 cm, 2.85 cm and 0.78 cm respectively in the operation group(P<0.001)． Multivariate regression analysis indicated that the “sleeve sign” length, “target ring sign” diameter and “sheath” thickness were independent influencing factors for the success of warm saline enema． ROC curve analysis indicated that the “sleeve sign” length≥4.5 cm, “target ring sign” diameter≥2.5 cm and “sheath” thickness≥0.5 cm of intussusception were optimal cutoff values to predict the need for surgery. Conclusion: The “sleeve sign” length<4.5 cm, “target ring sign” diameter<2.5 cm, and “sheath” thickness<0.5 cm predict the need for warm saline enema in pediatric patients with infant acute intussusception．
柏艳红，梁 明，唐凤珍，郭建康，唐中才. 婴幼儿急性肠套叠温生理盐水灌肠复位的超声学评估[J]. 中国临床医学影像杂志, 2016, 27(5): 352-354.
BAI Yan-hong, LIANG Ming, TANG Feng-zhen, GUO Jian-kang, TANG Zhong-cai. Ultrasound assessment in the cure of infant acute intussusception with warm saline enema. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(5): 352-354.
[1]李正，王慧贞，吉士俊． 实用小儿外科学[M]． 北京：人民卫生出版社，2001：742．
[2]Munden MM, Bruzzi JF, Coley BD, et al. Sonography of pediatric small-bowel intussusception: differentiating surgical from nonsugical cases[J]. AJR, 2007, 188(1): 275-279．
[3]Ko SF, Lee TY, Ng SH, et al． Small bowel intussusception in symptomatic pediatric patients: experiences with 19 surgically proven cases[J]. World J Surg, 2002, 26(4): 438-443.
[4]陆文明，冯文明，朱鸣，等． 临床胃肠疾病超声诊断学[M]. 西安：第四军医大学出版社，2004：220.
[5]Park NH, Park SL, Park CS． UItrasonographic findings of small bowel intussusception, focusing on differentiation from ileocolic intussusception[J]． Br J Radiol, 2007, 80(958): 798-802．
[6]Tiao MM, Wan YL, Ng SH, et al． Sonographic features of small-bowel intussusception: in pediatric patients[J]． Acad Emerg Med, 2001, 8(4): 368-373．
[7]Wiersma F, A11ema JH, Holscher HC, et al． Ileoileal inlussusception in children: ultrasonographic differentiation from ileocoli intussusception[J]． Pediatr Radiol, 2006, 36(11): 1177-1181．
[8]曹海根，王金锐． 实用腹部超声诊断学[M]． 2版． 北京：人民卫生出版社，2011：235.
[9]张尧，李士星，时博，等． 小儿暂时性小肠套叠的超声表现及其临床特点[J]． 中国临床医学影像杂志，2010，21（4）：293-295．
[10]Doi O, Aoyama K, Hutson JM． Twenty-one cases of small bowel intussusception: the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception[J]． Pediatr Surg Int, 2004, 20(2): 140-143．
[11]Strouse PJ, DiPietro MA, Saez F． Transient small-bowel intussusception in children on CT[J]. J Pediatr Radiol, 2003, 33(5): 316-320.
[12]佘亚雄，童尔昌. 小儿外科学[M]. 北京：人民卫生出版社，1995：143.
[13]Koh EP, Chua JH, Chui CH, et al． A report of 6 children with small bowel intussusception that required surgical intervention[J]． J Pediatr Surg, 2006, 41(4): 817-820．
2016, Vol. 27 
