【摘要】 目的探讨小儿肠套叠空气灌肠整复时机及其操作方法。方法小儿急性肠套叠287例,以发病至空气灌肠整复的时间分组,<24h组(Ⅰ组n=140),24～48h组(Ⅱ组n=92),>48h组(Ⅲ组n=55),对各组间空气灌肠整复的成功率进行比较。结果Ⅰ组空气灌肠整复成功率最高,Ⅲ组最低,整复成功率Ⅰ组与Ⅱ组比较,P<0.05;Ⅰ组与Ⅲ组比较,P<0.01;Ⅱ组与Ⅲ组比较,P<0.05。全组无死亡病例。结论在小儿急性肠套叠发病早期(<24h)是行空气灌肠整复的理想时机,随发病时间的增加,中转开腹率亦相应增加。更多还原

【Abstract】 Objective:To investigate the reductive opportunity of child re n with intussusception by air injection,and sum up the experience of reductive o peration.Methods:Clinical records of 287 cases of acute intussusception in child ren treated by air injection were respectively reviewed.They were divided into t hree group:acute onset within 24 h(groupⅠ),between 24 h to 48 h(groupⅡ),Beyond 48 h(groupⅢ).The rate of success was compared with each other group.Results:T he rate of success in groupⅠwas the highest,while that in group Ⅲ was the lowe st in the among the three groups. (P<0.05,P<0.01).The rate of success in group Ⅱ was higher than that in group Ⅲ(P<0.05).There was no operative de ath.Conclusion:It is a perfect opportunity for children with intussusception by air injection when it is done around 24 h after attack,ortherwise the operative risk and rate of conversion will increase with time elapsed.更多还原