间歇高压空气灌肠治疗小儿难复性肠套叠体会(附31例报告)

Infantile Intussusception Treated with Air Enema Under Intervallic High-Pressure

目的 探讨小儿肠套叠空气灌肠复位的空气压力及复位技巧 ,提高小儿肠套叠空气灌肠复位成功率 ,减少小儿肠套叠的手术治疗。方法 对在通常压力下行空气灌肠复位失败的 31例难复性肠套叠病儿 ,采用间歇高压空气灌肠法复位 ,空气压力为 (13.33～ 16 .6 7) k Pa,间歇性加压。结果 本组 31例病儿使用本方法取得良好效果 ,其中 18例复位成功 ,免除手术。结论 间歇高压空气灌肠复位法能提高小儿肠套叠空气灌肠复位成功率 。

Objective\ To investigate the air pressure needed for restoration by air enema and the restoration technique in the cases of infantile intussusception so as to increase the restoration rate and decrease the chances of its surgical intervention.Methods\ 31 cases of refractory intussusception that failed by using air enteroclysis under conventional pressure were restored by intervallic air enema with an intermittently increased pressure from 13.33 to 16.67kPa. Results \ Good effects were seen in all the cases , of which 18 were successfully restored without surgical intervention.Conclusion\ Intervallic high-pressure air enteroclysis, simple and reliable , can increase the success rate of restoration in the cases of infantile intussusception.