空气灌肠整复小儿急性肠套叠139例分析

目的:观察间歇性空气灌肠在小儿急性肠套叠的应用效果,探讨影响其整复成功率的因素。方法:对139例应用空气灌肠整复肠套叠患儿的临床资料进行回顾性分析。结果:整复成功127例,不成功12例。一次整复成功113例,二次整复成功11例,三次整复成功7例,其中6例发生肠复套4例整复成功。病程24 h、24～48 h、48 h者整复率分别为96.55%、72.22%和2/5,套头位于肝曲近侧者、横结肠中段至脾曲者和降结肠至乙状结肠者的整复率分别97.56%、87.50%和70.59%,差异均有统计学意义(P0.01)。结论:空气灌肠是小儿急性肠套叠主要的诊治方法,疗效安全、可靠,整复成功率随病程的延长、套叠程度的加深而降低。

Air enema for infants and children with acute intussusceptions:analysis of 139 cases

Objective:To evaluate intermittent air enema in treatment of acute intussusceptions in infants and children,and to analyze the factors affecting the rate of successful reduction.Methods:The clinical data of 139 cases of acute intussusceptions managed by air enema in our hospital were analyzed retrospectively.Results:The operation was successful in 127 cases and abortive in 12 cases.One hundred and thirteen cases were cured at the first manipulation,11 at the second and 7 at the third;re-intussusception occurred in 6 cases and 4 of them were successfully reducted;no patients suffered from perforation.The response rates were 96.55%,72.22% and 40.00% in the patients receiving therapy within less than 24 hours,24 to 48 hours and more than 48 hours from onset,respectively.The success rates were 97.56%,87.50% and 70.59% in patients with intussusceptions situated in the proximal of hepatic flexure of colon,from the middle of transverse colon to splenic flexure and from colon descendent to sigmoid colon,respectively.The difference was significant.Conclusions:Air enema is the main choice for treatment of intussusception in infants and children,for it is safe and effective.The rate of success depends on the time of onset to therapy and degree of intussusception.