188例小儿肠套叠空气灌肠整复治疗体会

Treatment of Children Intussusception by Air Enema:Therapy Experience of 188 Cases

目的探讨小儿肠套叠空气灌肠整复的临床应用,进一步提高其临床应用的整复率。方法对确诊的188例小儿肠套叠进行动态可监测下不同气压空气灌肠整复的临床观察进行回顾性分析。结果 188例中有174例(92.56%)成功整复,14例(7.44%)失败。结论空气灌肠是诊断与治疗小儿肠套叠的最好方法,结合间歇注气、手法按摩,明显提高整复成功率,对于部分患者发现套头固定、时间大于3d或有肠穿孔者应尽早手术治疗。

Objective To investigate the restitution clinical application of children with intussusception by air enema in an attempt to increase the restitution rate. Methods A retrospective analysis was made of air enema of 188 children with intussusception by dynamic monitoring. Results In 188 cases, 174 cases succeeded in restitution and 14 failed. Conclusion Air enema is an optimal diagnosis and treatment way for children intussusception. If we can combine the interval coloclysis with chirismus for it, we can obviously increase the restitution rate.