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目的 :探讨脉冲灌肠整复仪进行空气灌肠治疗小儿急性肠套叠的临床应用价值 ,旨在提高急性肠套叠的诊疗水平。材料与方法 :本组病例气压选择在 8— 14Kpa之间 ,经肛门插入Foley氏管至直肠内 3cm～ 5cm并连接遥控脉冲灌肠整复仪 ,当肠管充气并确诊有肠套叠后行脉冲气压整复。结果 :4 2例患者中 ,回—结型 2 1例 ( 5 0 % ) ;结—结型 15例 ( 34% ) ,其中 9例位于结肠肝曲 ,6例位于结肠脾曲 ;3例未见明显套叠征象 ( 8% ) ;3例病人因套叠时间和套叠段长度过长未能复位成功 ,成功率约 94 %。结论 :计算机控制脉冲气灌肠能减轻套叠部位的痉挛与水肿 ,明显提高了肠套叠的诊断和复位成功率。
Objective: To investigate the clinical value of air enema in the treatment of children with acute intussusception, and to improve the diagnosis and treatment of acute intussusception. Materials and Methods: The patients selected pressure in the 8- 14Kpa between the anus into the Foley’s tube to the rectum 3cm ~ 5cm and connect the remote pulse enema Integrative Instrument, when the bowel is inflated and confirmed intussusception Pulsed air pressure Reconstruction. Results: Of the 42 patients, there were 15 cases (34%) of nodose-nodules (n = 20) and 15 cases of nodules (n = 6) See obvious nested signs (8%); 3 patients failed to be successfully reset due to the length of nested time and overlap, the success rate of about 94%. Conclusion: Computer controlled pulsed gas enema can relieve the spasm and edema in the nested part and significantly improve the success rate of diagnosis and reduction of intussusception.