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KMID : 0367419940370050649
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Journal of Korean Pediatric Society
1994 Volume.37 No. 5 p.649 ~ p.654
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Clinical Approach of Ultrasonography in the Diagnosis of Intussusception in Infant and Children
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임희택
박진길/최홍주/김재삼/신효경/구철회
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Abstract
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Thirty consecutive patient seen in a pediatric out patient and emergency department, in whom the diagnosis of intussusception was considered, had an ultrasound examination of the abdomen before the barium enema. The peak age was 5∼12 month
(range
4∼34
month). Intussusception was detected by ultrasonography in all 25 cases proved by barium enema (sensitivity 100%).
Normal findings on ultrasonography correlated with a negative barium enema results in 5 of 5 cases (negative predictive value=100%). No intussusception was missed by ultrasonography.
To determine which patient would most benefit from ultrasonography, we divided patients into either a high risk group (100% intussusception) or a low risk group (37.5% intussusception) on the basis of clinical symptoms. We conclude that
ultrasonography
can be used as a rapid sensitive screening procedure in the diagnosis or exclusion of childhood intussusception.
Probability of surgical reduction was associated with size of of total thickness and external rim thickness.
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