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目的探讨小儿肠套叠X线透视下钡剂灌肠诊断及复位的临床效果,总结其经验。方法回顾性分析在X线透视下钡剂灌肠治疗的40例肠套叠患儿的临床及影像学资料。结果 40例患儿钡剂灌肠后X线透视可见肠管内软组织肿块或杯口状充盈缺损,其中31例患儿成功复位,成功率为77.5%,余9例患儿行手术治疗均痊愈。结论 X线透视下钡剂灌肠是肠套叠确诊的首选方法 ,钡剂灌肠整复率高,患儿痛苦少,治疗肠套叠疗效显著,值得推广应用。
Objective To investigate the clinical effect of diagnosis and reduction of barium enema under pediatric intussusception X-ray and summarize its experience. Methods The clinical data and imaging data of 40 patients with intussusception who were treated with barium enema under X-ray were retrospectively analyzed. Results 40 cases of children with barium enema X-ray fluoroscopy showed intestinal soft tissue mass or cup filling defects, of which 31 patients successfully reset, the success rate was 77.5%, more than 9 cases of children underwent surgical treatment were cured. Conclusion X-ray fluoroscopy barium enema is the preferred method of diagnosis of intussusception, barium enema consolidation rate is high, less pain in children, treatment of intussusception significant effect, it is worth promoting the application.