儿童肠套叠空气灌肠整复失败原因及解决方法的探讨

Study on the reasons and solutions of air enema failure in children with intussusception

目的探讨儿童肠套叠空气灌肠整复失败原因及解决方法。方法对空气灌肠整复失败的357例肠套叠病例进行分析。结果①空气灌肠所见:套叠头套入位置在直肠10例,乙状结肠21例,降结肠30例,结肠脾曲11例,横结肠172例,结肠肝曲38例,升结肠43例,回盲部32例。②手术所见:回结型36例,回盲型23例,回回结型280例,回回型18例,原发性肠套叠304例,继发性肠套叠53例。结论空气灌肠治疗肠套叠目前仍然是最直接、最有效的非手术治疗方法,采取适当的措施可提高空气灌肠整复率。

Objective To explore the reasons and solutions of air enema failure in children with intussusception. Methods 357 failure cases of intussusception air enema were analyzed. Results ①The air-pressure enema examinations showed the location of the intussusception caps are in the rectum （10 cases）, sigmoid （21 cases）, descending colon （30 cases）, splenic flexure of colon （11 cases）, transverse colon（172 cases）, hepatic flexure of colon （38 cases）, ascending colon（43 cases） and ileocecum （32 cases）. ② Surgical and pathological results： ilecolic intussusception （36 cases）, ileocecum intussusception （26 cases）, ileoilecolic intussusception （280 cases）, ileoileum intussusception （18 cases）, primary intussusception （304 cases）, secondary !ntussusception （53 cases）. Conclusion Air-pressure enema is the most direct and most effective method of non-surgical treatment. Taking suitable measures can enhance the success rate of the air-pressure enema.