摘要
目的 评估B超监视下盐水灌肠复位治疗小儿肠套叠的临床效果。方法 B超监视下盐水灌肠治疗 60例小儿肠套叠。采用德国产超声诊断仪 ,60 0～ 1 0 0 0ml温生理盐水灌肠 ,压力为 6～ 8kPa,复位时间多在 1 0min内。结果 B超可显示注水全过程。 52例一次复位成功 ,5例二次复位成功 ,3例复位失败改行手术治疗痊愈。灌肠过程中无肠破裂发生。结论 本法治疗小儿肠套叠的成功率高、安全可靠 。
Objective To evaluate the therapeutic value of ultrasound guided saline enema for pediatric intussusception.Methods Sixty cases of intussusception were diagnosed with ultrasonography(US).US guided saline enema was performed in 60 cases.Warm saline enema of 600～1000ml was used for reduction.The hydrostatic pressure was 6～8kPa and the reduction was controlled within 10 minutes.Results B mode ultrasonography showed the whole process of reduction.Reduction was successful in 52 cases at the first attempt and 5 cases at delayed attempt after a period of rest.Reduction failed in 3 cases and they subsequently underwent positive surgical operations.No enterorrhexis was occurred in all cases.Conclusion This method is associated with a high success rate,and no additional risk of complications.And the advantage of the US guided hydrostatic reduction with saline enema is to avoid radiation exposure.
出处
《中国基层医药》
CAS
2003年第1期34-35,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
B超监视
治疗
小儿
肠套叠
盐水灌肠复位
B mode Ultrasongraphy Saline enema reduction Intussusception
