150例小儿肠套叠空气灌肠整复治疗的体会

The Experiences of 150 Cases of Pediatric Intussusception of Air Enema Therapy

目的:探讨小儿肠套叠空气灌肠整复治疗的经验。材料与方法:收集150例小儿肠套叠行空气灌肠整复治疗的病例进行分析,一次空气灌肠未能整复成功的进行间歇注、排气,辅助手法按摩及肌注654-2再次整复。结果:本组150例一次注气成功整复117例(78%),进行间歇性注、排气,辅助手法按摩整复27例(18%),整复不成功6例(4%)。结论:电视透视下的空气灌肠是治疗小儿肠套叠安全、可靠的首选方式,一次注气未成功整复,采用间歇注、排气,可提高其成功率。

Purpose： To explore the experience of air enema in pediatric renovating intussusceptions. Materials and Methods： One hundred and fifty children with intussusceptions were involved in Our study-and the clinical and imaging data were analysed retrospectively . Once the air enema failed, injecting and exhausting intermittently, exerted by massage with hand and injecting 654 -2. Results： There were 117of 150 cases （78%） gas injection complexed successfully,. There were 27of 150 cases （ 18% ）. intermittent injection, exhaust, injecting and exhausting intermittently, exerted by massage with hand and injecting 654 -2 eomplexed successfully. The unsuccessful cases were six cases （4%）. Conclusion： It is safe and reli- able that air enema under fluoroscopy treating pediatric intussusception,. It can improve success rate greatly by using injecting and exhausting intermittently.