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目的:探索空气灌肠治疗小儿肠套叠的新辅助手法。方法:选取首次空气灌肠未复位,年龄在3~6月龄的50例肠套叠患儿,分两组实施二次空气灌肠。分别施以腹部双合按压法和腹外按压法。结果:实验组应用腹部双合按压法2次空气灌肠平均复位率为88%,较对照组应用腹外按压法提高了12%。实验组X线下整复时间平均为6.3 min,较对照组缩短3.4 min。结论:腹部双合按压法提高了低龄肠套叠患儿2次空气灌肠的复位率,减少了透视下复位时间。
Objective: To explore the new adjuvant technique of air enema for treating intussusception in children. Methods: Fifty patients with intussusception who were not repositioned for the first time with air enema and aged 3-6 months were enrolled in two groups. Secondary air enema was administered. Abdominal double compression and abdominal compression were applied. Results: In the experimental group, the average rate of double air enema reduction was 88% by double-sided abdominal compression and 12% higher than that of the control group by extra-abdominal compression. In the experimental group, the average time of X-ray reconstruction was 6.3 min, which was 3.4 min shorter than that of the control group. Conclusion: Double-sided abdominal compression method improves the rate of 2-enema reduction in children with early intussusception and reduces the reset time under fluoroscopy.