摘要
目的 分析小儿肠套叠空气整复失败病例的临床及X线表现。材料与方法 X线荧屏下行结肠注气整复小儿肠套叠497例 ,成功 45 4例 ,失败 43例。结果 空气灌肠整复失败 43例均经手术复位 ,其中复杂型 2 4例 ,器质性肠套叠 1例 ,2例肠坏死 ,16例肠壁损伤 ,2 5例阑尾被套。结论 整复失败与复杂型肠套叠、病程长、年龄小、肠管畸形、肠腔坏死等有关。透视下见套入头呈大团块影、分叶状和在间隙气压作用下套入部呈“弹簧”样表现是难整复的主要特征。
Objective To analyze the clinical and radiological demonstrations when air enema fails in the reduction of intussusception in children.Materials and Methods Reduction of intussusception with air enema under fluoroscopy monitoring was carried out in 497 cases, which was successful in 454 and failure in 43.Results Successful operation was done in 43 cases unsuccessful by air enema, which included complex intussusception (n=24), organic intussusception (n=1), bowel necrosis (n=2) and intestinal wall injury (n=16). Involvement of appendix was seen in 25 cases.Conclusion Failures of air enema in reduction of intussusception are related to the complexity, long duration of illness, young in age, intestinal malformation and bowel necrosis, etc. When the intussusceptum presents as a big and lobulated mass, showing “spring” sign under intermittent pressure, it indicates that the reduction of intussusception can hardly be successful.
出处
《临床放射学杂志》
CSCD
北大核心
2000年第8期518-520,共3页
Journal of Clinical Radiology
