简体中文

·腹部疾病·

低压脉冲空气灌肠术采用不同注气压力对小儿肠套叠的治疗效果

作者:侯文忠

所属单位:广东省梅州市人民医院放射科 (广东 梅州 514031)

PDF

摘要

目的 探究低压脉冲空气灌肠术对不同年龄采用不同注气压力治疗小儿肠套叠的效果。方法 将我院于2016年1 月-2016年7月期间收入治疗的117例小儿肠套叠患儿作为研究对象,对所有患儿均采用低压脉冲空气灌肠术进行治 疗,并观察其应用不同注气压力的治疗效果。结果 经观察研究数据可知,本次研究中治疗成功的患儿有95例,有 22例则为治疗失败,其治疗成功率为81.19%,其中可见选择复位压力为12-14kpa时其成功概率较高,其成功概率与 采用其余注气压力比较时,其差异有统计学意义存在(P<0.05)。结论 低压脉冲空气灌肠术在针对小儿肠套叠治 疗中可取得较高的成功率,但在实际应用中应综合考虑患儿的实际疾病情况以选择合适的注气压力,以此才可充分 发挥其治疗价值。

Objective To explore the low pressure pulse air enema with different gas injection pressure for the treatment of intussusception in children of different age effect. Methods In our hospital from January 2016 to July 2016, 117 cases of infantile intussusception during the treatment of income as the object of study, all patients were treated with low pressure pulse air enema therapy, and to observe the therapeutic effect of the application of different gas injection pressure. Results Through the observation of research data shows that in this study the successful treatment of 95 cases, 22 cases for treatment failure, the cure rate is 81.19%, the visible reduction pressure of 12-14kpa when the success probability is higher, the probability of success and the rest of the gas injection pressure comparison, the difference was statistically the significance of existence (P<0.05). Conclusion Low pressure pulse air enema in the treatment of children's intussusception can achieve a higher success rate, but should be considered in the actual disease to choose the gas injection pressure suitable in practical application, in order to give full play to its therapeutic value.

【关键词】低压脉冲空气灌肠术;不同注气压力;小儿肠套叠;效果

【中图分类号】R322.4+5

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.02.024

前言

肠套叠是小儿外科常见的急腹症,2岁以下小 见,以4~10个月婴儿最多见,发病率随着年龄增长 而降低。空气灌肠是目前临床治疗小儿肠套常用的非 手术治疗方法,具有操作方便、创伤费用低、成功率 高等优点,同时可避免外科手术并发症。本文中通过 回顾性分析我院2016年1月~2016年7月117例小儿肠 套叠整复病例,探讨空气灌肠复位的注气压力,以提 高整复成功率,现报道如下。