¹第三军医大学附属新桥医院放射科 重庆市 630037

    ²重庆医科大学附属儿童医院放射科 重庆市 630000

    张冬，男，1973-11-03生，重庆南川市人，汉族. 1995年川北医学院医学影像学系五年制毕业，硕士学位，住院医师.

    项目负责人 张冬,第三军医大学附属新桥医院放射科 重庆市 630037收搞日期 1996-09-06 接受日期 1996-12-25

    Air enema reduction in childhood intussusception

    Dong Zhang¹, Xi-Zhi Yi¹ and Ye Xu<sup>2

    1</sup>Department of Radiology, Xinqiao Hospital, Third Military Medical University, Chongqing 630037, China

    ²Children′s Hospital, Chongqing Medical University, Chongqing 630000, China

    Abstract

    AIM To summarize the experience of air enema reduction in ch ildhood intussusception.

    METHODS Air reduction in 141 cases of childhood intussusception (145 attempts) was retrospectively reviewed, and surgical findings and clinical features were analysed in 25 cases of failed reduction. Statistical analysis wa s made between reduction rate and disease duration, the location of apex of intu ssusception and systemic symptoms (bowel obstruction, dehydration).

    RESULTS The reduction rate was 82.7% in our group. Statistical analysis showed significant association between successful air reduction and di sease duration (in 24h, 92.7%; 48h～96h, 50.1%), location of apex of intussusception, systemic symptoms (absence of bowel obstruction, severity of dehydration). Many clinical features affected the success possibility of gas enema reduction. A combination of these factors was more likely than a single factor to predict the outcome of air reduction. Selecting indication carefully and improving the technique of reduction may increase the reduction rate. ......