肠套叠空气灌肠复位后复发患儿CT特征及影响因素分析
CT features of the recurrent intussusception in pediatric patients after air-enema intestinal reduction and analysis of its influencing factors
杨梅 1宋文琳 2朱伟伟 3高云剑4
作者信息
- 1. 215200 江苏苏州 苏州市吴江区儿童医院放射科
- 2. 215200 江苏苏州 苏州市吴江区儿童医院药剂科
- 3. 苏州科技城医院放射科
- 4. 苏州大学附属儿童医院
- 折叠
摘要
目的 探讨肠套叠患儿空气灌肠复位后复发的CT特征及影响复发的相关因素.方法 回顾性分析2020年1月至2022年5月在苏州大学附属儿童医院初诊确诊为肠套叠并采用空气灌肠复位治疗患儿.记录患儿一般资料、临床特征及CT影像学特征.采用logistic回归分析确定肠套叠复发相关因素.结果 共纳入162例患儿,其中男103例(63.58％);中位年龄2.3岁(3个月至5岁).32例患儿(19.75％)空气灌肠成功复位后肠套叠院内复发.单因素分析结果显示,复发组患儿套叠肠管长度、套叠肠管厚度、靶形肿块征、彗星尾征、肠系膜淋巴结肿大发生率显著高于未复发组,差异有统计学意义(均P＜0.05),两组腹腔积液发生率比较差异无统计学意义(P＞0.05).多因素logistic回归分析结果显示,年龄＞3岁(OR=2.10,95％CI=1.25～2.94,P＜0.01)、肠系膜淋巴结肿大(OR=2.05,95％CI=1.07～2.68,P＜0.01)及靶形肿块征(OR=3.32,95％CI=1.53～6.62,P＜0.01)是肠套叠患儿空气灌肠复位后复发的独立影响因素.结论 年龄＞3岁、肠系膜淋巴结肿大、靶形肿块征是肠套叠患儿空气灌肠复位后复发的危险因素.
Abstract
Objective To discuss the CT features of the recurrent intussusception in pediatric patients after air-enema intestinal reduction,and to analyze its influencing factors.Methods The clinical data of child patients with intussusception,whose diagnosis was initially confirmed and treated with air-enema intestinal reduction at the Children's Hospital of Soochow University from January 2020 to May 2022,were retrospectively analyzed.The general data,clinical characteristics and CT imaging findings were collected.Logistic regression analysis was used to determine the factors related to the recurrence of the intussusception.Results A total of 162 child patients were enrolled in this study,among them 103 child patients were males,the mean age was 2.3 years(3 months to 5 years).Thirty-two children(19.75％,recurrent group)developed in-hospital recurrence of intussusception after successful air-enema intestinal reduction.Univariate analysis showed that the incidences of intussusception length,intussusception thickness,target-shaped mass sign,comet's tail sign and enlarged mesenteric lymph nodes in the recurrent group were remarkably higher than those in the non-recurrent group,the differences were statistically significant(all P＜0.05).No statistically significant difference in the incidence of ascites existed between the two groups(P＞0.05).Multivariate logistic regression analysis revealed that age＞3 years(OR=2.10,95％CI=1.25-2.94,P＜0.01),enlarged mesenteric lymph nodes(OR=2.05,95％CI=1.07-2.68,P＜0.01),and the target-shaped mass sign(OR=3.32,95％CI=1.53-6.62,P＜0.01)were the independent influencing factors for the recurrence of intussusception in child patients with intussusception after receiving air-enema intestinal reduction.Conclusion Age＞3 years,enlarged mesenteric lymph nodes and target-shaped mass sign are the risk factors for the recurrence of intussusception in child patients with intussusception after receiving air-enema intestinal reduction.
关键词
肠套叠/儿童/危险因素/复发/空气灌肠/CTKey words
intussusception/child/risk factor/recurrence/air-enema/CT引用本文复制引用
基金项目
江苏省苏州市科技发展计划指导性项目(SKYD2023175)
出版年
2024
NETL
NSTL
万方数据