超声引导下生理盐水灌肠复位治疗小儿肠套叠

An ultrasound-guided saline enema reduction of intussusception in children

目的 超声引导下生理盐水灌肠复位小儿肠套叠 ,从而提高安全性及避免较长时间的X线照射对患儿、家属身体的损害。方法 利用超声显像技术找到肠套叠的部位 ,观察其形状、位置、大小范围 ,后在超声监视下用生理盐水加压灌肠 ,根据压力和容积的变化观察肠套叠部位的变化 ,直到套叠肠管被整复 ,生理盐水通过 ,证明复位成功。结果 本组 32例 ,经超声引导注水灌肠康复 2 9例。结论 超声引导下肠套叠水压复位 ,经济、实用、方便、安全。

Objective The purpose of this study is to develop a non operative therapy for children′s intussusception,the most common acute abdomen,by means of normal saline enema reduction under ultrasound,not under X ray,so as to secure the safety and avoid hazards of a fairly long time X ray exposure to the sick children and their parents Method Using the ultrasonic detection technique to find the part of intussusception,observe its shape,location,size and scope;then,using physiologicalsaline to exert pressure and clysterize under the ultrasound watch and observe the changes of the position according to the changes of pressure and volume until the intestines are reduced and physiological saline gets past.This proves the success of redution Results Twenty nine cases in this group(total 32) had restored to health via the ultrasound guided normal saline enema.Conclusion Reduction of intussusception by water pressure under ultrasonic guidance is a good remedy,economical,practical,easy,and safe