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目的探讨影响儿童肠套叠空气灌肠的整复成功率的相关因素。方法回顾分析2004年1月至2007年6月中236例儿童肠套叠空气灌肠整复率和其中32例灌肠复位失败的情况。所有病例对整复率与病程的长短、套叠部位的关系进行了分析。结果整复率与病程的长短(<12h为95.2%,12~24h为87.1%,24~72h为53.3%)、套叠部位远近(肝曲近侧为92.59%,横结肠的整复率为85.20%,降结肠到乙状结肠为80.20%)密切相关;整复率随病程延长而递减;套叠部位愈远,整复率愈低。结论影响空气灌肠整复成功与否有多种因素,两种以上因素组合较单一因素更能预示灌肠复位的难易。
Objective To explore the factors influencing the success rate of the recovery of intussusception air enema in children. Methods Retrospective analysis of 236 cases of children intussusception air enema recovery rate and 32 cases of enema reset failure between January 2004 and June 2007. In all cases, the relationship between the rate of complete recovery and the course of disease, and the relationship between the overlapping parts were analyzed. Results The rate of complete recovery and duration of disease (95.2% in 12 h, 87.1% in 12-24 h and 53.3% in 24-72 h), the distance between the nested region (92.59% in the proximal liver tract and 85.20 in the transverse colon) %, Descending colon to the sigmoid colon was 80.20%) is closely related to the whole recovery rate decreased with the extension of the course of disease; farther the farther the site, the lower the recovery rate. Conclusion There are many factors affecting the success of air enema restoration. The combination of two or more factors is more indicative of the difficulty of enema reduction than single factor.