摘要
目的 :提高对小儿肠套叠的影像诊断与治疗的认识。方法 :回顾性分析近 15 a来经空气灌肠证实的肠套叠患儿 6 19例的影像学表现。其中 5 8例整复失败经手术复位。结果 :空气灌肠整复失败 5 8例中 ,术后病理证实复杂型 2 8例 ,器质性肠套叠 2例 ,肠壁损伤 2 1例 ,3例阑尾被套 ,4例肠坏死。术后回 -回 -结套 2 4例 ,回 -结套 2 4例 ,回回结结型 4例。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 ;对于复杂型肠套叠及伴有肠管畸形、肠腔坏死等症 ,则应尽早采取手术治疗。
Objective:To improve the knowledge about the X-ray feature and the treatment of intussusception.Methods:Of the 619 cases,fifty-eight unreduced cases were cured by operation.The X-ray findings in all 619 cases in the past 15 years were analyzed and reviewed.Results:Successful operation was done in 58 cases unsuccessful by air enema,which included complex intussusception(n=28),organic intussusception(n=2),intestinal injury(n=21),involvement of appendix(n=3) and bowel necrosis was seen in 4 cases.Proved by operation pathology.ileilecolic intussusception in 24 cases.Conclusion:Air-pressure enema examinations is the best methods in treat and diagnose intussusception.Complex intussusception,with intestinal malformation and bowel necrosis,are difficult to reduce,and thest patients ought to operated on time.
出处
《中国误诊学杂志》
CAS
2003年第8期1159-1161,共3页
Chinese Journal of Misdiagnostics
