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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。
Objective: To evaluate the reliability and effectiveness of gas enema under fluoroscopy in the diagnosis of intussusception and pneumatic enema reduction. Materials and Methods: 56 cases of intussusception confirmed by air pressure enema were collected, aged 2 months to 5 years old, with an average of 10 months, 38 males and 18 females. All cases were applied under fluoroscopy pressure enema to obtain intussusception diagnosis and reset. Pressure 80 ~ 120mmHg, sustained fluoroscopy time of 5 to 30 minutes. Results: In all cases of intussusception, soft tissue mass was seen in the intestine. Under fluoroscopy, 56 patients underwent rectal intussusception. 49 cases were successful, with a success rate of 87.5%. There was no case of perforation. Conclusion: Gastroenteric enema can be used for diagnosis and reduction of intussusception, which has the characteristics of fast, safe, inexpensive, reliable, effective and high success rate.