婴幼儿肠套叠气压灌肠的诊断与整复  

Diagnosis and Reduction Infants Intussusception by Air Enema

作　　者：栾绍余[1] 李玉东[1] 冯建国[1] 何富生 

机构地区：[1]抚顺矿业集团总医院放射科,113008 [2]抚顺市中心医院影像科,113006

出　　处：《现代医用影像学》2004年第6期249-250,共2页Modern Medical Imageology

摘　　要：目的 :提高婴幼儿肠套叠的诊断率、整复率及手术治愈率。材料与方法 :搜集 10年经气压灌肠证实的肠套叠患儿 2 12例 ,其中手术患儿术前均摄有腹部平片。回顾分析肠套叠整复前、整复时、整复后腹部X线表现。结果 :确诊婴幼儿肠套叠患者 2 12例 ,气压灌肠整复 195例 ,手术治疗 17例 ,其中伴有肠坏死 6例 ,合并严重充血水肿 11例。本组患儿 ,无 1例死亡。结论 :通过临床及气压灌肠腹部X线表现明确肠套叠诊断 ,判断肠管是否坏死 ,有无严重充血水肿 ,从而选择正确治疗方法。尤其重视小婴儿肠套叠。Purpose:To improve the diagnosis,reduction and operation cure.Materials and Methods:Over the past 10 years,there were 212 cases of intussusception confirmed by air pressure enema.Among these,the film were taken before operation for operational infants.The apperance of X-ray before,during and after the reduction period were reviewed and analyzed.Rusults:The 212 cases of intussusception were confirmed.195 cases were successfully reduced by air anema.17 cases were cured by operation,6 cases with intestinal necrosis and 11 cases with hyperemia and swelling.In all cases,no patient died.Conclusion:Intussusception could be diagnosed by careful clinical ,roentgenology and air pressure enema examinations.

关 键 词：婴幼儿 肠套叠 气压灌肠 诊断 整复 

分 类 号：R726.5[医药卫生—儿科]