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目的探讨CT平扫对小儿肠套叠的诊断价值。方法回顾性分析86例肠套叠患儿CT检查的临床资料。结果 86例肠套叠患儿中回结型70例(81.40%),结结型13例(15.12%),回回结型2例(2.33%),回盲结型1例(1.16%)。CT征象主要表现为靶征29例、慧星尾征17例,套筒征10例,肾形征11例,不规则肿块征19例。所有86例患儿经空气灌肠复位未成功的病例有2例。结论 CT平扫可以在一定程度上预测空气复位的成功性,为临床选择治疗方案提供参考,在小儿肠套叠的诊断及指导治疗方面具有良好的临床应用价值。
Objective To investigate the diagnostic value of CT scan in children with intussusception. Methods A retrospective analysis of 86 cases of intussusception in children with CT examination of clinical data. Results There were 70 cases (81.40%) of 86 cases with intussusception in this group, 13 cases (15.12%) in node type, 2 cases (2.33%) in return type and 1 case (1,166%) in type I. CT signs mainly manifested as target sign in 29 cases, comet tail sign in 17 cases, sleeve sign in 10 cases, renal sign in 11 cases and irregular sign in 19 cases. In all 86 cases, 2 cases were unsuccessfully treated with air enema reduction. Conclusion CT scan can predict the success of air reset to a certain extent, provide a reference for clinical treatment options, and have a good clinical value in the diagnosis and treatment of intussusception in children.