摘要
目的:探讨臭氧与空气混合气体灌肠治疗小儿肠套叠的临床应用价值。方法:搜集本院采用臭氧与空气混合气体灌肠治疗小儿肠套叠的46例患儿(臭氧组)的病例资料,与采用传统空气灌肠治疗的102例患儿(空气组)进行对照分析。结果:臭氧组45例1次复位成功,1例2次复位成功,复位成功率为100%(46/46),一次复位成功率为97.8%(45/46);空气组83例1次复位成功,9例2次复位成功,10例复位失败,复位成功率为90.1%(92/102),一次复位成功率为81.4%(83/102)。两组比较复位成功率,差异有统计学意义(χ2=4.82,P<0.05),一次复位成功率差异亦有统计学意义(χ2=7.34,P<0.01)。臭氧组辐射剂量平均值为(3.56±1.36)mSv,空气组辐射剂量平均值为(5.82±2.25)mSv,两组比较差异有统计学意义(P<0.05)。结论:采用臭氧与空气混合气体灌肠治疗小儿肠套叠,整复率高,患儿辐射剂量小,明显优于传统空气灌肠方法。
Objective：To investigate the clinical value of the mixture of ozone and air for enema reduction of intussusception in children. Methods： Data of 46 patients （ozone-group） treated by ozone-air mixture enema were studied, comparing with traditional air enema in 102 patients （air group）. Results：In 45 of 46 cases in the ozone group, the intussusception was reduced successfully in one trial of ozone-air enema,the success rate was 97.8% （45/46）. In one case the reduction was successful when the air enema was performed once again. The overall success rate was 100%. In the air group,the enema reduction was successful in one trial in 83 of 102 palients,the success rate was 81.4%（83/102）. In 9 cases the reduction was successful when the air enema was carried out once again,and in 10 cases the reduction failed. The overall success rate was 90.1% （92/102）. There was statistical siguificant difference in the overall success rate between the two groups （χ^2=4.82,P〈0.05）. There was also statistical significant difference in the success rate of once air enema between two groups （χ^2= 7.34, P〈0.01）. The average radiation dose of the ozone group was （3.56 ± 1.36）mSv, the average radiation dose of the air group was （5.82±2.25）mSv,the difference was statistically significant between the two groups （P〈0.05）. Conclusion： The mixture of ozone and air enema for reduction of intussusception in children has a higher success rate with less radiation dose, being significantly superior to traditional air enema.
出处
《放射学实践》
2013年第5期567-570,共4页
Radiologic Practice
关键词
肠套叠
臭氧
灌肠
儿童
Intussusception
Ozone
Enema
Child
