300例小儿肠套叠X线影像特征及空气灌肠整复治疗的观察

300 Cases of Intussusception in Children with X-ray Image Characteristics and the Treatment of Air Enema Rehabilitation Observation

目的:探讨小儿肠套叠X线表现及总结小儿空气灌肠整复经验。方法:收集300例小儿肠套叠X线影像以及整复病例进行分析。结果:小儿肠套叠X线影像表现为局限性小肠拱形扩张,软组织肿块征,右下腹小肠液气平面征并伴有明显的逆蠕动;空气灌肠整复失败X线影像常表现为袖套征,回盲部小肠聚集卷曲的团块征,未套入的小肠扩张及大量积气、积液征。有时疑诊时空气灌肠有助确诊。在辅用镇静剂和腹部按揉下的间歇空气灌肠整复法成功率达96.3%。结论:小儿肠套叠及空气灌肠整复失败X线影像表现有一定特征,使用镇静剂,腹部按摩,斟增注气压有助于提高成功率。发病时间,套叠的类型,发病年龄则是成败的影响因素。

Objective： To investigate the performance of the X-ray image with intussusception in children and Slimmed up the experience of air enema rehabilitation. Methods： Collect 300 cases of intussusception in children with X-ray image and the rehabilitation cases to analyse. Results： The X-ray image of intussusception in children showed the limitations of the small intestine arch expansion, sign of soft tissue mass, planar liquid-gas of small intestine at right lower quadrant accompanied with obvious symptoms of reverse peristaltic; the X-ray image of failed air enema rehabilitation usually showed the sign of sleeve, small intestine curly gathered masses at ileocecal, a large quantity of gas expansion and fluid at small intestine what was not set into. Sometimes air enema will help when it was with suspected diagnosis. Intermittent air enema by using tranquilizers and abdominal massage has a success rate of 96.3%. Conclusion： The X-ray image of intussusception in children and the failure of air enema rehabilitation each has the characteristic performance, the use of tranquilizers, abdominal massage, as appropriate, by adding injection pressure will help improve the success rate. Time of onset, type of intussusception, the incidence of age is the factors of success or failure of the treatment.