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目的探讨空气灌肠整复小儿肠套叠的方法 ,提高整复成功率。方法 2007年1月-2008年12月经超声明确诊断小儿急性肠套叠患儿328例,行空气灌肠诊断(压力4～6kPa)和整复(压力7～14kPa),分析整复成功率与肠套叠发生时间、套头所在部位、使用解痉药物之间的关系。结果空气灌肠整复成功306例,成功率93%,其中68例为二次整复。整复率与肠套叠发病时间、患儿全身情况及肠套叠的病理类型、整复压力的掌握及解痉药物的适时选用有关。结论采用适当的操作方法 ,利用空气灌肠整复小儿肠套叠能提高成功率。
Objective To investigate the method of air enema to reconstruct intussusception in children and improve the success rate of reconstruction. Methods From January 2007 to December 2008, 328 children with acute intussusception were diagnosed by ultrasonography. Air enema was diagnosed (pressure 4-6 kPa) and reconstructive (pressure 7-14 kPa) Nesting occurred time, hedging where the use of the relationship between antispasmodic drugs. Results The air enema was successfully reconstructed in 306 cases, with a success rate of 93%. 68 of them were secondary reconstructions. The recovery rate and intussusception onset time, the general condition of children and intussusception pathological types, the restoration of the pressure control and timely selection of antispasmodic drugs. Conclusion The appropriate operation method, the use of air enema in children intussusception can improve the success rate.