小儿原发性肠套叠的诊治分析

目的对小儿原发性肠套叠病例的临床特点、诊断和治疗方法进行探讨。方法回顾性分析126例小儿原发性肠套叠患儿的病例资料,其中119例经彩超诊断,7例彩超未诊断但临床怀疑,经空气灌肠诊断。121例经空气灌肠整复治疗,其中11例中转手术,5例发病超过48h,直接手术治疗。结果 110例空气灌肠复位成功,16例经手术治疗,均顺利恢复。结论小儿原发性肠套叠,彩超是非常有价值的辅助检查,空气灌肠复位是最简便有效的治疗方法,对不适合空气灌肠复位及复位失败者应及时手术治疗。

On the Diagnosis and Treatment of Primary Intussusception in Infants and Children

Objective To discuss the clinical features,diagnosis and treatment of primary intussusception in infants and children.Methods A retrospective study was carried out in a total of 126 cases of primary intussusception,among which 119 cases were diagnosed by color Dopplar ultrasonography,the other 7 were clinically suspected and later confirmed by air enema reduction.Air enema reductions were performed on 121 cases,out of which 11 cases were transferred to be treated surgically,5 cases who had a clinical course over 48 hours received surgical treatment immediately.Results 110 cases were treated with air enema reduction successfully and 16 cases with surgery got recovered.Conclusions For primary intussusception in infants and children,color Dopplar ultrasonography is a valuable diagnostic method and air enema reduction is a simple and effective therapy.For those which are not indicated for air enema reduction or fail to respond to air enema reduction,laparotomy should be done promptly.