【摘要】 目的:评估透视下气体灌肠诊断肠套叠及气压灌肠复位的可靠性及有效性。材料和方法:搜集经空气压力灌肠证实肠套叠患儿56例,年龄2个月～5岁,平均10个月,男38例,女18例。所有病例均应用透视下气压灌肠即可获得肠套叠的诊断及复位。压力80～120mmHg,持续透视时间为5～30分钟。结果:肠套叠透视下所有病例均可见肠管内软组织肿块,透视下气压灌肠,整复肠套叠56例,成功49例,成功率87.5%,无一例穿孔。结论:透视下气体灌肠即可进行肠套叠的诊断及复位,具有快速、安全、价廉、可靠、有效、高成功率的特点。更多还原

【Abstract】 Objective:To assess the feasibility a nd effectiveness of fluoroscopic guidance air enema for diagnosis and reduc- tion of intussusception in children.Methods:There were56cases of infussusc eption in children confirmed by air-pressure en-ema.The age at onset ranged f rom2months to5years,average age10months(38boys,8girls).Intussuscepti on was diag-nosed in all patients underwent a fluoroscopic guided pneumatic re duction attempt.The initial pressure was set at80mmHg and raised to maximum pressure of 120mmHg.The mean fluoroscopy time was5minutes in successful r eduction,and30min-utes in failed reduction.Result:The head of the intussu sception was seen in bowel cavity with fluoroscopy in all patients pneumatic red uction of intussusception with fluoroscopy was carried out in56cases,which was successful in49(87.5%),and failure in7(12.5%).Non-perfo ration cases were diagnosed.Conclusion:Air enema for diagnosis and reduction of intussuscep-tion with fluoroscopic guidance is claimed to quick,safe,les s messy,cheaper,feasibility and effectiveness and high success rate.更多还原