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目的:探讨小儿肠套叠的各治疗方法与肠套时间、肠套类型的关系。方法:对103例小儿肠套叠病人的各治疗方法疗效进行分析及其与肠套时间、肠套类型的关系作了统计比较。结果:空气复位、手术复位成功率与肠套时间、肠套类型、肠套长度有关,时间越短、长度越短,复位成功率越高;回结型肠套复位成功率明显高于回回结肠,空气复位有约8.2%复发率,肠部分切除有一定术后并发症。结论:小儿肠套叠早发现、早治疗非常重要,75%以上能空气复位成功,21%可手法复位成功,预后良好,5%以下晚期病例需行肠切除,预后欠佳。
Objective: To explore the relationship between the treatment of intussusception in children and the time of intussusception and the type of intussusception. Methods: The curative effect of 103 cases of children with intussusception patients were analyzed and compared with the time of intussusception, the type of intussusception for statistical comparison. Results: The success rate of air reset and surgical reduction was related to the time of intussusception, the type of intussusception and the length of the intestine. The shorter the length of time, the shorter the length of success, the higher the success rate was. The success rate of retrograde intussusception was significantly higher than that of the returned colon , Air reset about 8.2% of the recurrence rate, partial resection of the bowel has some postoperative complications. Conclusions: Early detection and early treatment of intussusception in children is very important. More than 75% of the cases can be successfully reset by air, and 21% can be successfully repositioned by hand. The prognosis is good. Patients with advanced 5% or less need bowel resection with poor prognosis.