Nghiên cứu đặc điểm lâm sàng, siêu âm, đánh giá kết quả và tìm hiểu một số yếu tố ảnh hưởng đến kết quả tháo lồng ruột bằng hơi ở trẻ em tại Bệnh viện Nhi đồng Cần Thơ 2017-2018

A research on clinical features, ultrasound and evaluating the results of pneumatic reduction of intussusception in infants. Subjects and methods A cross-sectional descriptive study was used for the patients of intussusceptions under 24 months of ages who were treated with pneumatic reduction at Cần Thơ Children’s Hospital from 1/5/2017 to 30/4/2018. Results 182 patients were the subjects of this study, of whom there was 57,69 % of male patients. The ratio of male patients to females ones was 1,36/1. Mean age was 15,49 ± 5,52 months (range 5 -< 24 months). The diagnosis were based on clinical presentation (abdominal pain 100%, vomiting 87,91%, rectal bleeding 23.63%, palplabe abdominal mass 71,43%), and 96,7% cases was diagnosed with ultrasound. The success in pneumatic reduction is greater if the symptom duration is less than 24 hours (156/182 cases, 85,71%, P = 0,003) compared to that of more than 24 hours. The success rate of the patients who didn’t have enough 4 classic symptoms is higher than that of the patients having enough 4 classic symptoms (22/182 BN, 12,09%, P = 0.002). The success rate of all the patients treated with pneumatic reduction was 98,35% without any incidents or fatality. The rate of recurrent was 18,13%, and early recurrence rate was 8,79%.