空气灌肠整复术治疗小儿肠套叠在基层医院中的应用

Application of air enema in the treatment of pediatric intussusception at basic hospital

目的:探讨空气灌肠整复术治疗小儿肠套叠在基层医院中的应用价值。方法:回顾性分析2004年1月～2008年12月临床诊断为急性肠套叠的78例患儿,均先行空气压力灌肠整复,整复未成功者,行外科手术治疗。结果:78例患儿中,整复成功66例,成功率为84.6%,其中12例因套叠程度深、水肿严重,复位失败改行手术治疗。结论:对病程在24h之内、无其他并发症的小儿肠套叠,在基层医院应首选空气灌肠整复,成功率可达84%以上,具有较高的临床应用价值。

Objective To explore the application values of air enema treatment of pediatric intussusception at basic hospital.Method Seventy-eight children with clinical diagnosis of acute intussusception were retrospective analyzed.They all underwent air pressure enema first,if restoration was not successful,performing surgery.Results In 78 cases of sick children,66 cases resetted successfully,with the success rate of 84.6%,other 12 cases of failing to resetting replaced to surgical treatment,because of deep level of intussusception,severe edema.Conclusion In the treatment of intussusception children of course within 24 h,with no other complications,the first choice in basic hospitals is air enema,and the success rate is beyong 84%,with a highly clinical application value.