摘要
目的：探讨碘海醇联合空气灌肠在小儿肠套叠整复术中的应用效果。方法：选取芜湖市第一人民医院2013年1月~2015年12月采用碘海醇联合空气灌肠肠套叠整复术86例（研究组）及同期弋矶山医院空气灌肠肠套叠整复术82例（对照组）,比较两种方法在图像清晰度、复位成功率、穿孔率和再发率等方面的差别。结果：碘海醇溶液灌肠复位相对空气灌肠更加清晰;研究组复位成功率、穿孔率和再发率分别为91.9%（79/86）、1.2%（1/86）和5.8%（5/86）,对照组分别为90.2%（74/82）、0%（0/82）和7.3%（6/82）,两组比较无明显统计学差异。结论：碘海醇联合空气灌肠肠套叠整复术显像更加直观、清晰,利于判断,并具有疗效肯定、安全便捷等优点,适合各级医院应用。
Objective： To investigate the clinical efficacy of combined iohexol with air enema reduction for pediatric intussusception.Methods： Eighty-six cases of pediatric intussusception treated in Wuhu No.1 peoples＇ s Hospital by iohexol with air enema reduction between January 2013 and December 2015 were included as study group,and another 82 cases of pediatric intussusception treated in Yijishan Hospital of Wannan Medical College in the corresponding periods with simple air enema reduction were recruited as control group.Then the two groups were compared pertaining to the image definition obtained during the hospital stay,successful reduction rate,perforative rate and recurrence rate.Results： Combined iohexol with air enema reduction led to well defined image than simple air enema reduction.The successful reduction rate,perforative rate and recurrence rate was 91.9%（ 79 / 86）,1.2%（ 1 / 86） and5.8%（ 5 / 86） for the study group,and 90.2%（ 74 / 82）,0%（ 0 / 82） and 7.3%（ 6 / 82） for the control group,respectively.The difference was not significant between group（ P〉0.05）.Conclusion： Combined iohexol with air enema reduction may create well defined X-ray image for estimation of pediatric intussusception,and be recommended in hospitals of different levels because of its efficacies and safety in operation.
作者
项本宏
王本泉
段光琦
刘洁
XIANG Benhong WANG Benquan DUAN Guangqi LIU Jie(Department of General Surgery, Wuhu No. 1 People＇s Hospital, Wuhu 241001, China)
出处
《皖南医学院学报》
CAS
2016年第4期368-370,共3页
Journal of Wannan Medical College
基金
芜湖市科技惠民计划(2013hm34)
关键词
小儿肠套叠
碘海醇
灌肠整复术
pediatric intussusception
iohexol
air enema reduction
