应用自制简易装置空气灌肠整复儿童急性肠套叠

Air enema with self - made simple equipment in children with acute indigitation

目的观察应用自制简易装置空气灌肠整复儿童急性肠套叠的临床疗效，分析可能的影响因素。方法选择我院自1999年1月至2008年1月收治的急性肠套叠患儿46例，应用自制简易装置空气灌肠整复方法治疗，分析其成功率及与患病时间、病变复杂程度的关系。结果46例患儿总体整复成功率89．1％（41／46例）。病程24h时内患儿成功率94．7％（36／38例）优于病程〉24h的成功率62．5％（5／8例）（P〈0．05）；5例整复失败患儿经手术证实4例为混合套叠。结论自制简易装置空气灌肠整复儿童急性肠套叠成功率高，但对于病程较长、病变复杂的患儿应于早期选择手术治疗。

Objective To observe the efficacy of air enema with self- made simple equipment on children with acute indigiration and analyze the relational factors to complete remission. Methods 46 children with acute indigitation were chose, who newly diagnosed from Janurary 1999 to Janurary 2008 and treated by air enema with self - made simple equipment in our hospital. We retrospectively analyzed their complete remission rate and relation with disease time and complexity. Results The total complete remission rate （CRR） was 89. 1%. CRR of less than 24 hours in disease time was superior to its of beyond 24 hours （94.7 % and 62.5% , P 〈 0.05 ）. Of 5 failure, mixed indigitation was found in 4 children by surgery. Conclusion Air enema with self- made simple equipment is more efficious in children with acute indigitation, but surgery should be performed in children with longer disease time and more complex disease.