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目的比较空气灌肠和钡剂灌肠在小儿肠套叠中的应用效果。方法在X线透视下,使用自动控制压力的肠套叠复位机,对238例肠套叠患儿分别进行空气灌肠及钡剂灌肠诊断及整复治疗,并进行统计分析。结果行空气灌肠组确诊率98%、复位率97%,平均耗时20 min;行钡剂灌肠组确诊率98%,复位率93%,1例肠穿孔,平均耗时50 min。结论两者的确诊率均较高,但空气灌肠复位率稍高于钡剂灌肠,同时更方便、快捷、安全。空气灌肠是诊治小儿肠套叠的首选方法,也是最佳无创治疗方法。
Objective To compare the effect of air enema and barium enema in pediatric intussusception. Methods The patients underwent intussusception and barium enema in 238 cases of intussusception using automatic controlled pressure intussusception machine under X-ray fluoroscopy, and statistical analysis was performed. Results The diagnosis rate of air enema group was 98%, the reduction rate was 97%, and the average time was 20 minutes. The diagnosis rate of barium enema group was 98%, the reduction rate was 93%, and the intestinal puncture was performed in 1 case, with an average time of 50 min. Conclusion The diagnosis rate of both is higher, but the air enema reduction rate slightly higher than the barium enema, at the same time more convenient, fast and safe. Air enema is the preferred method of diagnosis and treatment of children intussusception, but also the best non-invasive treatment.