摘要
目的探讨钡灌肠在婴幼儿便秘诊断中的临床意义。方法因便秘就诊的患儿100例(排便次数≤2次/周)行钡剂灌肠观察结肠、直肠形态及排空时间。其中≤1岁67例,13个月～3岁17例,>3岁16例,平均1.4岁。结合患儿随访结果回顾分析其钡剂灌肠所见与临床联系。结果器质性便秘6例(中场旋转不良2例,节段性肠管持续狭窄4例),非器质性便秘94例。94例非器质性便秘患儿24h钡剂完全排空41例(43.61%),48h完全排空84例(89.36),72h完全排空91例(96.80%)。94例中72例(76.95%)3～5个月后电话随访得知54例(75%)便秘症状消失(包括食欲增加,排便次数≥3次/周);13例(18.1%)症状不同程度改善(其平均排便次数≥2次/周);5例(6.9%)无改善。结论钡剂灌肠可作为筛查鉴别婴幼儿器质性和非器质性便秘的首选方法。75%以上非器质性便秘婴幼儿通过调整饮食结构和喂养方法及科学排便训练可消除便秘症状。
Objective To study the value of barium enema in constipation diagnosis in infants and young children. Methods 100 cases with constipation in infants and young children were undergone barium enema to investigate the pattern and transit time of colon, and also regressively analyse the relationship between the radiologic manifestation and clinic symptoms. The age under 1 year were 67cases, 13 months to 3 years old 17 cases, more 3 years old 16 cases, average 1.4 years old. Results Organic constipation 6（ midgut malrotation 2, rectal stenosis 3, sigmoid colonic stenosis 1 ）, non-organic constipation 94. Amo^lg tile 94 cases of non-organic constipation, there were 41 （43.61%） cases barium emptying completely within 24 hours , 84 （ 89.36% ） cases barium emptying completely within 48 hours, 91 （96. 80% ） cases barium emptying completely within 72 hours. 72 （769. 5 % ） of 94 cases were followed up by telephon 3 to 5 months after barium enema exam and 54 （75%） of 72 cases＇ con- stipation symptoms disappeared, 13 （ 18. 10% ） of 72 cases＇ constipation symptoms improved, 5 （6. 90% ） of 72 cases＇ constipa- tion symptoms didn＇ t improve. Conclusion Barium enema can be considered as a screening methods for differentiating organic constipation from non-organic constipation. More than 75% of non-organic constipation in infancy could be cured by regulating di- etary construction and defaecating training.
出处
《四川医学》
CAS
2012年第12期2208-2210,共3页
Sichuan Medical Journal
关键词
婴幼儿
便秘
钡剂灌肠
X线
infant and young children
barium enema
X- ray
