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수압정복술로 정복된 회결장 장중첩증 소아 환자에서 재발 관련 예측 인자 연구

Predictive Risk Factors of Recurrent Ileocolic Intussusception after Successful Enema Reduction in Children

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The Medical Journal of Chosun University (조선대학교 의대논문집)
조선대학교 의학연구원 (Institute of Medical Science, Chosun University)
초록

The intussusception recurs in approximately 10 percent of children after successful nonoperative reduction. The main objective was to determine the clinical and sonographic findings that could be used to predict recurrence of ileocolic intussusception in children that had been successfully reduced by enema. A retrospective search was performed on 66 children, at age of 3 months to 7 years, with successful enema reduction of intussusception during a 2.5-year period from January 2013 to July 2015. The clinical, laboratory records, and sonographic findings were compared between recurrence of intussusceptions group (ROI) and non-recurrence group (NROI). Statistical significances were found in age (median, 26.0 vs 18.5 months; P =0.022) and terminal ileal wall thickening (mean, 10.23 vs 7.8 mm; p=0.002); in contrast, there was no significance considering gender, irritability (p=0.074), currant jelly stool (p=1.0), or C-reactive protein (p=0.908). Recurrence is associated with age and the thickening of terminal ileal wall, but clinical or laboratory findings. Given the small number of cases, further studies should be conducted.

저자
  • 안기섭(광주 기독병원 소아청소년과) | Ki Seup An
  • 조성민(광주 기독병원 소아청소년과) | Sung Min Jo
  • 장해인(광주 기독병원 소아청소년과) | Hae In Jang
  • 조형민(광주 기독병원 소아청소년과) | Hyoung Min Cho
  • 김은영(광주 기독병원 소아청소년과) | Eun Young Kim
  • 김경심(광주 기독병원 소아청소년과) | Kyoung Sim Kim
  • 김용욱(광주 기독병원 소아청소년과) | Yong Wook Kim
  • 임형근(광주 기독병원 영상의학과) | Hyung Guhn Lim
  • 김령(광주 기독병원 소아청소년과) | Young Kim Corresponding author