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目的:探讨小儿肠套叠诊断和治疗要点,并发症的原因和处理。方法:回顾性分析我院1991年5月～1998年5月152例小儿肠套叠的临床资料。结果:152例肠套叠患儿空气灌复位成功120例,病程小于24小时者成功率显著增高。大于48小时者成功率明显下降,且并发症(结肠穿孔3例)明显增高。全组无死亡。结论:空气灌肠复位是早期病人(小于48小时)最佳诊断和治疗方法;大于48小时者应选用手术治疗。
Objective: To explore the diagnosis and treatment of intussusception in children, the causes and treatment of complications. Methods: The clinical data of 152 children with intussusception in our hospital from May 1991 to May 1998 were retrospectively analyzed. Results: A total of 152 cases of intussusception were successfully treated with air filling. The success rate of patients with less than 24 hours duration was significantly higher. The success rate of more than 48 hours decreased significantly, and the complication (3 cases of colonic perforation) was significantly higher. The whole group did not die. Conclusion: Air enema reduction is the best diagnosis and treatment of early patients (less than 48 hours); more than 48 hours should be treated surgically.