摘要
目的提高小儿肠套叠在X线空气灌肠下的复位率。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。
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.
出处
《中国实用医药》
2009年第12期32-33,共2页
China Practical Medicine
关键词
X线空气灌肠
小儿肠套叠
复位
Air enteroclysis under x-ray
Intussusception of children
Reposition
