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目的解读“肠套叠经空气灌肠后,盲肠最终存留直径<2.0cm的肿物,且见极少量气体进入小肠”的现象,并探讨其实际价值。方法将54例经空气灌肠后未达复位标准的肠套叠患儿分为两组,即“经空气灌肠后,盲肠最终存留直径<2.0cm的肿物且见极少量气体进入小肠组”(A组)18例与“经空气灌肠后盲肠最终存留直径>3.0cm的肿物,且未见气体进入小肠组”(B组)36例,比较二者的肠套叠解除情况。结果 A组肠套叠空气灌肠后解除率为88.9%,显著高于B组肠套叠的零解除率(P<0.05)。结论 “肠套叠经空气灌肠后,盲肠最终存留直径<2.0cm的肿物,且见极少量气体进入小肠”的现象提示,绝大多数肠套叠已解除,但仍有少部分患者存在短段肠套叠。
Objective To interpret the phenomenon of “intussusception after the air enema, the final retention of the cecum <2.0cm diameter tumor, and see a very small amount of gas into the small intestine” and explore its actual value. Methods 54 cases of intussusception after air enema failed to reset the standard is divided into two groups, namely “after the air enema, the final retention of the cecum diameter <2.0cm of the tumor and see a very small amount of gas into the small intestine group (Group A) and 18 patients with cecum after the air enema the final retention diameter> 3.0cm of the tumor, and no gas into the small intestine group ”(group B) 36 cases, the two cases of intussusception were removed . Results The rate of relieving intussusception after air enema in group A was 88.9%, which was significantly higher than that in group B (P <0.05). Conclusion “The intussusception after the air enema, the final retention of the cecum diameter of <2.0cm tumor, and see a very small amount of gas into the small intestine ”, suggesting that the vast majority of intussusception has been lifted, but there are still a small number of patients There is a short segment of intussusception.