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目的探讨消化内镜直视下肠套叠复位的改良方法,提高复位成功率。方法小儿急性肠套叠患儿48例,在消化内镜直视下渐复位,同时观察回盲瓣是否恢复原有正常解剖结构,继续进镜至回肠末端观察,通过病变水肿小肠后可见到近端正常小肠黏膜,考虑小肠已完全复位。其中采用传统消化内镜复位方法 35例,改良消化内镜复位方法 13例。结果病人应用改良内镜直视下注入空气位后,复位时间较传统方法明显缩短,特别对于以往复位不成功病例,如套叠长度长或多层套叠病人尤为明显,成功率明显提高。结论内镜直视下充气复位小儿肠套叠是一种效果确切的诊断及治疗方法,应用改良方法后复位的时间明显缩短,对以往复位不成功病例,成功率明显提高。
Objective To explore the improved method of intussusception in patients with digestive endoscopy and improve the success rate of reduction. Methods 48 cases of children with acute intussusception in children under the digestive endoscope under direct reattachment, while observing the ileocecal valve to restore the original normal anatomical structure, continue to enter the mirror to the end of the ileum observation, through the lesion edema can be seen near the small intestine End normal small intestinal mucosa, consider the small intestine has been completely reset. Among them, 35 cases were treated by traditional digestive endoscopy and 13 cases were treated by modified digestive endoscopy. Results The results showed that the reduction time was significantly shortened compared with the traditional methods after the patients were treated with modified endoscopic injection of air, especially for patients with unsuccessful past researches, such as overlong-length or multi-overlay patients, and the success rate was significantly improved. Conclusion Infant intussusception is an accurate diagnosis and treatment of infantile intussusception under endoscopic direct vision. The time of repositioning is significantly shortened by using the modified method. The successful rate of previous unsuccessful repositioning is obviously improved.