小儿肠套叠的影像诊断与空气灌肠整复失败的分析

Analysis for the failure of air enema in the Intussusception in children And X-RAY Diagnosis of Intussusception in children

目的:提高对小儿肠套叠的影像诊断与治疗的认识。方法:回顾性分析近15年来经空气灌肠证实的肠套叠患儿608例的影像学表现。其中550例经透视下行结肠注气整复成功,58例整复失败经手术复位。结果:空气灌肠整复失败58例中,术后病理证实有复杂型28例,器质性肠套叠2例,肠壁损伤21例,3例阑尾被套,4例肠坏死,其中回-回-结套24例,回结套24例,回回结结型4例。结论:透视下空气灌肠是诊断与治疗小儿肠套叠的最好方法;对于复杂型肠套叠及伴有肠管畸形、肠腔坏死等症,则应尽早采取手术治疗。

Objective: To improve the knowledge about the X-ray feature and the treatment of Intussusception . Methods: Of the 660 cases ,550 cases were successfully reduced by air enema . Fifty-eight unreduced cases were cured by operation . The X-ray findings in all 608 cases in the past 15 wars were analyzed and reviewed. Results: Successful operation was done in 58 cases unsuccessful by air enema , which included complex intussusception ( n = 28) , organic intussusception ( n = 2), intestinal injury ( n=21), involvement of appendix ( n = 3) and bowel necrosis was seenin 4 cases. Proved by operation pathology, ileoilecolic intussusception in 24 cases. Conclusion:Air-pressure enema examinations is the best methods in treat and diagnose intussusception . Complex intussusception , with intestinal malformation and bowel necrosis , are difficult to re-duce ,and these patients ought to be operated on time.