婴幼儿肠套叠应用空气灌肠诊治的临床研究

发布时间：2018-02-12 17:28

本文关键词： 婴儿肠套叠空气灌肠　出处：《桂林医学院》2012年硕士论文　论文类型：学位论文

【摘要】：目的规范以空气灌肠整复方法为主的肠套叠诊治过程,以提高整复成功率,并在空气灌肠中及早判断不能整复的情况,以尽早中转手术治疗。方法对我院近5年来,125例婴幼儿肠套叠的诊治及X线片进行回顾分析。分析我院空气灌肠整复中,应用样本率和总体率进行比较,x2检验。结果我院婴幼儿肠套叠空气灌肠整复治疗成功率低于文献统计。5例患儿在二次空气灌肠中整复成功。大部分患儿的腹壁厚度大于1厘米,可影响手法辅助按摩操作。故在空气灌肠整复肠套叠操作中,需要进一步研究和改进。结论应用空气灌肠整复婴幼儿肠套叠成功率高,操作较为简单,并且较为安全。但仍有部分患儿空气灌肠整复不成功,甚至出现肠穿孔并发症,故应加强空气灌肠的规范性操作；并且空气灌时采取手法辅助按摩应慎重进行。
[Abstract]:Objective to standardize the diagnosis and treatment of intussusception mainly by air enema in order to improve the success rate of reduction and to judge the situation of failure in air enema as early as possible so as to transfer to surgery as soon as possible. Methods the diagnosis and treatment of 125 cases of intussusception in our hospital in recent 5 years and X-ray films were retrospectively analyzed. Results the success rate of air enema in infantile intussusception in our hospital was lower than that in the literature. It can affect the manipulation of massage. Therefore, it needs further study and improvement in the operation of air enema for intussusception reduction. Conclusion Air enema has a high success rate, simple operation and safety in infantile intussusception, but there are still some children who are not successful in air enema and even have complications of intestinal perforation. Therefore, the normative operation of air enema should be strengthened, and the manual assisted massage should be carefully carried out.
【学位授予单位】：桂林医学院
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R726.5

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