空气压力灌肠诊断与治疗小儿急性肠套叠（附177例分析）

目的 :提高对小儿急性肠套叠空气压力灌肠适应证和操作要点的认识。材料和方法 :临床诊断为急性肠套叠177例 ,行腹部摄片、空气压力灌肠诊断与整复 ,整复未成功者行外科剖腹探查 ,回顾分析空气压力灌肠的指征和操作要点。结果 :( 1)腹部平片 :出现典型肠梗阻表现 11例 ,未出现者 16 6例 ;( 2 )空气压力灌肠的X线征象 :杯口状软组织块 16 1例 ,无软组织块 16例 ,杯口状软组织块合并钳状、球状、息肉状、分叶状影分别为 31例、19例、6例、11例 ;( 3)整复成功16 1例 ,未成功 16例。结论 :小儿急性肠套叠 ,在适应证范围内 ,应首选空气压力灌肠。

Diagnosis and Therapy of Acute Intussusception by Air-pressure Enema in Children (Analysis of 177 Cases)

Purpose: To improve the knowledge about the diagnosis of acute intussusception ,indication of air-pressure enema treatment and point of operation in children. Materials and Methods: 177 Cases of intussusception diagnosed by clinical data underwent abdomen plain film, air-pressure enema and treated with air-pressure enema. Those who underwent no success after air-pressure enema treated by operation. The indication of air-pressure enema and point of operation in acute intussusception were retrospectively analyzed. Results: (1) Abdomen plain film showed that the typical x-ray features of intestinal obstruction were in 11 cases and did not have them (166). (2) The air-pressure enema findings were cupping soft tissue mass (161) complicated with other appearances of forceps (31),balls (19),polyps (6), lobes (11) and no soft tissue mass (16). (3) 161 Cases of intussusception were replaced successfully and 16 cases underwent no success by air-pressure enema. Conclusion: Air-pressure enema should be the first choice for the diagnosis and therapy of acute intussusception in children of its range of indication.