空气灌肠整复小儿肠套叠500例临床分析

Air Enema Intussusception in Children (Report of 500 Cases)

目的:通过对500例婴幼儿肠套叠整复的临床观察,探讨整复过程中的适应症与禁忌症、压力选择、提高整复率的措施及方法。方法:使用遥控式恒压空气灌肠仪对婴幼儿肠套叠进行整复分析适应症、禁忌症选择及提高整复率的措施。结果:500例均见肠套叠典型X线征象,诊断明确,套头位于直肠、乙状结肠15例,脾曲区域、降结肠50例,肝曲、横结肠区域350例,升结肠95例;灌通435例,未通65例,平均整复率87%;未能整复的65例,全部行手术治疗,术中发现9例有肠坏死及多发性息肉、淋巴结增大及肠腔内囊肿。结论:掌握好适应症与禁忌症、压力的选择,可提高整复率。

Objective： apply clinical observation of 500 case s the children＇s intussusception with air enema to investigate the measure of indication and contraindication,pressure selecting.Material and methods： Use the machine of remote control air enema to analysis the indication and contraindication or improving the achievement ratio.Conclusion： All cases have typical X-ray signs,diagnosis is clearly,the head of intussusception located rectum and sigmoid were 15 cases,the area of spleen and descending colon were 50 cases,hepatic region and transverse colon 350 cases,ascending 95 cases;successful 435;successfull reduction 435 patients,failure reduction 65,achievement ratio 87%;whole failure reduction patients perform the surgery,intraoperative detect 9 cases have intestinal necrosis and multiple polyps,lymph nodes and cyst in enteric cavity.Conclusion： to master indication and contraindication,pressure selecting,improving the achievement ratio.