论文部分内容阅读
目的探索消化内镜直视下根据镜下所见套叠情况注入适当空气使小儿肠套叠复位的手段,为此类病人的治疗开辟一个全新有效的方法。方法经临床症状、体征和超声诊断,并行消化内镜检查明确为小儿急性肠套叠患儿22例,在与小儿外科医师协作排除行急诊手术的情况下,在消化内镜直视下注入空气后肠套叠渐复位,复位后观察回盲瓣结构正常,继续进入回肠末端观察,小肠已完全通畅和完全复位。分析消化内镜直视下充气复位小儿肠套叠整复成功率与肠套叠发生时间、套头所在部位之间的关系。结果内镜直视下注入空气复位成功21例,成功率95.45%,其中1例因较长时间未能完全复位后立即行外科手术复位。复位成功率与患者全身情况、肠套叠持续时间、肠套叠的病理种类有一定关系。结论消化内镜直视下充气复位小儿肠套叠是一种效果确切的诊断及治疗方法,在有条件的医疗单位建议在排除急诊外科手术治疗的情况下作为此类疾患的首选方法。
Objective To explore the method of injecting proper air into intussusception under the condition of digestive endoscopy to reset the intussusception in children and open a new and effective method for the treatment of such patients. Methods Twenty-two children with acute intussusception were identified by clinical symptoms, signs and ultrasonography and concurrent digestive endoscopy. Air was injected under endoscopic digestion under the condition of emergency surgery in collaboration with pediatric surgeons Retrograde intussusception gradually reset, observe the structure of the ileocecal valve returned to normal, continue to enter the terminal ileum observation, the small intestine has been completely patency and complete reduction. Analysis of the relationship between the successful rate of intussusception and the time of intussusception and the location of the hematoma in inflatable resection under direct vision of digestive endoscopy. Results In the endoscope, air injection was successfully performed in 21 cases, with a success rate of 95.45%. One of them was surgically removed immediately after a long time failed to be completely reset. The success rate of reset and the patient’s general condition, intussusception duration, intussusception pathological types have a certain relationship. Conclusion Gastrointestinal decompression and intussusception in children with intussusception is an effective method of diagnosis and treatment. Digestive endoscopy in children with intussusception is an effective method of diagnosis and treatment in conditional medical units.