小儿肠套叠空气灌肠规范化诊疗的探讨  

Study of the standard mode of air enema in the diagnosis and treatment for intussusception in children

作　　者：何晓俊[1] 秦增辉[1] 马新瑜[1] 徐良波[1] 

机构地区：[1]武汉市儿童医院放射科,430016

出　　处：《放射学实践》2010年第5期559-562,共4页Radiologic Practice

摘　　要：目的:探讨小儿肠套叠空气灌肠诊断与治疗的规范化操作模式。方法:总结2031例肠套叠空气灌肠诊断与治疗的规范化操作经验,规范化模式主要围绕空气灌肠的适应证,灌肠术中、术后可能出现的相关并发症,以及从循证医学角度建立影像学诊疗依据等环节,将小儿肠套叠空气灌肠诊断与治疗过程分为诊断性灌肠和治疗性灌肠两部分,相应做出规范化操作标准,有利于规范严谨地开展此项诊疗业务。结果:通过建立规范化操作标准本组病例治疗成功率96%,诊断符合率100%,并且实现零纠纷和零投诉。结论:肠套叠空气灌肠的操作流程规范化模式的建立,有利于该项诊疗技术安全有效开展。Objective：To study the standard mode of air enema in the diagnosis and treatment for intussusceptions in children.Methods：The experiences of 2031 cases of intussusceptions diagnosed and treated by air enema were summarized,mainly concentrated at the indications and complications during and after air enema,and to establish the standard mode of the procedure.According to the goal,procedure of air enema for intussusceptions was divided into diagnostic or therapeutic,the standard procedures for these two purposes were based on evidence medicine.Results：Based on the standard mode of operation,the suscessful rate was 96%,the accuracy for diagnosis reached 100%.There were no dispute or complaint happened.Conclusion：Establishment of standard mode of operation for air enema of intussusceptions is safe and reliable,and is helpful in promoting the technique.

关 键 词：空气灌肠 医师诊疗模式 肠套叠 儿童 

分 类 号：R726.5[医药卫生—儿科]