摘要
目的探究及分析不同方式整复小儿肠套叠的效果。方法回顾性分析我院2012年1月～2015年1月收治的小儿肠套叠患儿150例,随机分为三组,分别采用X线引导下空气灌肠、X线引导下钡剂灌肠和超声引导下盐水灌肠对其进行整复治疗。治疗后观察所有患儿整复成功率和并发症情况。结果空气灌肠、钡剂灌肠和盐水灌肠三组治疗总复位成功率分别为84.0%、86.0%和92.0%,差异无明显统计学意义（P〉0.05）,但盐水灌肠组复位总成功率高于其他两组,并且盐水灌肠组首次复位成功率（80.0%）明显高于空气灌肠组（56.0%）和钡剂灌肠组（54.0%）,差异具有统计学意义（P〈0.05）。而且空气灌肠、钡剂灌肠和盐水灌肠三组患者48 h内复套发生率（4.8%、4.7%和2.2%）和穿孔发生率（2%、0、0）,差异无统计学意义（P〉0.05）。结论对于小儿肠套叠的治疗,超声引导下盐水灌肠整复法具有方便、设备要求低、首次成功率高、无辐射、副损伤少等优点,临床效价较高,值得临床上推广应用。
Objective To investigate and analyze the effect of different ways in the treatment of pediatric intussusception. Methods 150 cases diagnosed as pediatric intussusception in our hospital from January 2012-January 2015 were retrospectively analyzed and random Ly divided into three groups, each group was given air enema with X-ray, barium enema with X-ray and saline enema with ultrasound reset on it. The success rate and complications were observed after treatment. Results Air enema, barium enema and saline enema treatment group total reset success rate were 84.0% 、86.0% 、92.0%,There was no obvious difference（P〉0.05）. but the success rate of first reset for saline enema group（80.0%） was obviously higher than the air enema（56.0%） and barium enema（54.0%）, there were difference（P〈0.05）.The air enema, barium enema and saline enema groups of patients within 48 hours after sets of incidence（4.8% 、4.7%、2.2%） and perforation rate（2.0% 、0 、0）, there was no obvious difference（ P〈0.05）. Conclusion For the treatment of intussusception, saline enema with ultrasound reconstructive method has convenient, low equipment requirements,higher success rate for the first time, no radiation, fewer side damage, and higher clinical potency, it is worthy of clinical popularization and application.
出处
《中国现代医生》
2016年第9期90-92,共3页
China Modern Doctor
关键词
空气灌肠
钡餐灌肠
盐水灌肠
小儿肠套叠
Air enema
Barium enema
Saline enema
Pediatric intussusception
