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首页> 外文期刊>Eastern Journal of Medicine >Hydrostatic Reduction Supported With External Manuel Reduction In Treatment Of Intussusception: A New Technical Synthesis
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Hydrostatic Reduction Supported With External Manuel Reduction In Treatment Of Intussusception: A New Technical Synthesis

机译：外部手法复位支持静水压降低肠套叠的新技术

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Hydrostatic Reduction Supported With External Manuel Reduction In Treatment Of Intussusception: A New Technical Synthesis Burhan Beger sup1/sup, Baran Serdar K?z?ly?ld?z sup2/sup, Metin ?im?ek sup3/sup, Ebuzer Düz sup1/sup, Hüseyin Akdeniz sup4/sup sup1/supVanyuzunciyil University, Pediatric Surgery Department, Van/ Turkey sup2/supVan Lokman Hekim Hospital, Pediatry Department, Van/ Turkey sup3/supVan Training And Research Hospital, Pediatric Surgery Department, Van/ Turkey sup4/supVanyuzunciyil University, Radiology Department, Van/ Turkey INTRODUCTION: Intussusception treatment is routinely performed in our clinic using ultrasound-guided hydrostatic reduction (USGHR). Because of the difficulties seen in technique and its less-than-ideal success rate, alternative methods are searched. In this study, we would like to discuss using external manual reduction (EMR) in combination with USGHR in intussusception treatment METHODS: This retrospective study was completed in Pediatric Surgery Department of Van Training and Research Hospital, between February2018 and May 2018. Patients that treated with USGHR marked as Group 1 and Patients that treated with combination of USGHR and marked as Group 2. Patients age, gender, symptoms, treatment techniques, complications and hospitalization periods were noted. RESULTS: In Group 1; 14 patients were treated with a single session and 2 were treated with 2 sessions. 4 patients were treated with surgery. Mean reduction time was calculated as 16 minutes, the fluid volume required for each reduction was 84 ml/kg and mean hospitalization period was calculated as 33 hours. In Group 2; 18 out of 20 patients were treated in the first session and 2 required a secondary session. Mean reduction time was calculated as 13 minutes, the fluid volume required for reduction was 65 ml/kg and mean hospitalization period was calculated as 25 hours. The results were statistically assessed by using SPSS version 24. Normality controls were done using Shapiro-Wilk Test. DISCUSSION AND CONCLUSION: As an alternative; USGHR supported by EMR can be beneficial in increasing the treatment success rate in intussusception treatment and decreasing negative laparotomy rates, especially in partial reduction cases.
机译：外部手法复位支持的静水压降低治疗肠套叠：一种新的技术合成Burhan Beger 1 ，Baran Serdar K？z？ly？ld？z 2 ，Metin？im ？ek 3 ，EbuzerDüz 1 ，HüseyinAkdeniz 4 1 范努祖西伊尔大学范儿小儿外科，范/土耳其 2 范/土耳其范儿乐医院范罗克曼·赫金医院 3 范/土耳其范儿乐医院儿科外科培训研究医院 4 瓦努祖克西伊尔大学，范/土耳其放射科简介：在我们的诊所中，通常采用超声引导的静水压迫术（USGHR）进行肠套叠治疗。由于技术上的困难及其不理想的成功率，因此寻找了替代方法。在这项研究中，我们想讨论在肠套叠治疗中使用外部手动复位（EMR）结合USGHR的方法。该回顾性研究于2018年2月至2018年5月之间在范培训研究医院的儿科部门完成。 USGHR标记为第1组，USGHR联合治疗的患者标记为第2组。记录了患者的年龄，性别，症状，治疗技术，并发症和住院时间。结果：在第1组中;单次治疗14例，两次治疗2例。手术治疗4例。平均减少时间为16分钟，每次减少所需的体液量为84 ml / kg，平均住院时间为33小时。在第2组中; 20名患者中有18名在第一次治疗中接受治疗，其中2名需要进行第二次治疗。平均减少时间为13分钟，减少所需的液体量为65 ml / kg，平均住院时间为25小时。使用SPSS 24版对结果进行统计评估。使用Shapiro-Wilk Test进行正常对照。讨论与结论：作为替代方案。由EMR支持的USGHR可以提高肠套叠治疗的治疗成功率，降低剖腹手术的阴性率，特别是在部分复位病例中。

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