小儿肠套叠在X线空气灌肠下复位的临床观察

目的提高小儿肠套叠在x线空气灌肠下的复伉率。方法经肛门插入Foley氏管，在电视监视器下，用JS-628E电脑遥控脉冲灌肠整复仪，压力设定在7～16KPa之间，确诊肠套叠后行空气灌肠下复位。结果经空气灌肠确诊复位50例患者中，套叠头部为充盈缺损或团块状软组织影，呈杯口状33例，钳状9例，球状7例，息肉状1例。套头位于回盲部5例，升结肠21例，结肠肝曲20例，横结肠3例，结肠脾曲1例。其中40例顺利复位（80％），8例结合手法按摩复位（16％），2例经2次空气灌肠复位（4％）。结论小儿肠套叠在x线空气灌肠下复位是安全、方便、有效的治疗方法。

Clinical observation of intussusception of children treated with air enteroclysis under X-ray

Objective To raise the reposition rate of air enteroclysis under x-ray in treating intussusception of children. Methods Foleypipe was inserted through anus and telecontrolled with Js-628 E computer pulser enemator, the applied pressure was controlled between 7 Kpa to 16 Kpa. After intussusception was established, air enteroclysis was conducted. Results 50 patients with intussusception were performed air enteroclysis . The results showed that there was a mass of soft tissues or filling defect in the head part of intussusception. 34 cases showed crateriform filling defect ; 9 cases showed forceps ; 7 spheroid. The head part of intussusception in 5 cases was located in ileocecum; 21 in ascending colon; 20 in hepatic flexure of colon; 3 in transverse colon; 1 in splenic flexure of colon. Of those, 40 cases were repositioned sucessfully（80% ）. 8 cases were repositioned combined with hand massage（ 16% ）. 2 cases were repositioned with air enteroelysis for 2 times（4% ）. Conclusion Air enteroclysis under X-ray is a safe, easy and effective way for treating the reposition of intussusception of children.