摘要
目的提高对空气灌肠复位治疗小儿肠套叠的认识。方法回顾性分析28例空气灌肠治疗小儿肠套叠复位失败的影像学特点,探讨影响复位成功因素。结果小儿肠套叠空气灌肠复位失败的套叠类型为回结型(13例)、回回结型(10例)、回回型(1例)、回回结结型(2例)、回结结型(1例)及回盲结型(1例),后3种类型在复位成功病例中较少见。结论透视下空气灌肠是诊断与治疗小儿肠套叠的最好方法;对于复位失败的病例应及时手术治疗,不应强行复位,避免并发症的出现。
Objective:To improve the knowledge about the X-ray feature and the treatment of intussusception. Methods: The X-ray features of 28 cases of failed by air enema in the intussusception in children were reviewed retrospectively. Results: The intussusception types of failed cases include ileo-colonic intussusception( 13 cases), ileo-ileo-colonic intussusception( 10 cases), ileo-ileac intussusception(1 case),ileo-ileo-colo-colonic intussusception(2 cases), ileo-colo-colonic intussusception(1 case), and ileo-cecal intussusception(1 case). The last three types were seldom seen in successful cases of air enema. Conclusion:Air pressure enema is the best method in the treatment and diagnosis of intussusception. For the failed cases of air enema in intussusception, surgery treatment should be perform in time to avoid complications.
出处
《实用临床医学(江西)》
CAS
2005年第8期119-120,F0004,共3页
Practical Clinical Medicine
关键词
小儿肠套叠
空气灌肠
复位失败
intussusception in children
air enema
failure of treatment