Suzuki M, Hayakawa K, Nishimura K, Koide M, Tateishi S, Yamamoto E, Mukaihara S, Morikawa S
Department of Radiology, Kyoto City Hospital, Japan.
Radiat Med. 1999 Mar-Apr;17(2):121-4.
A total of 74 patients with intussusception were divided into two groups: 43 cases in 39 patients between April 1974 and June 1988 were treated under general anesthesia, and 39 cases in 35 patients between July 1988 and January 1994 were treated without it. We compared the success rates of barium reduction of intussusception in the two groups and used Fisher's exact probability test to assess whether they differed significantly.
The overall success rates with general anesthesia and without general anesthesia were 91% (39/43) and 95% (37/39), respectively. The use of general anesthesia did not significantly affect the success rate of barium reduction (p > 0.3).
The use of general anesthesia for hydrostatic barium reduction of intussusception did not improve the success rate of this procedure. Therefore we recommend that, in view of its associated disadvantages, general anesthesia should not be used during this procedure.
总共74例肠套叠患者被分为两组:1974年4月至1988年6月期间,39例患者中的43例在全身麻醉下接受治疗;1988年7月至1994年1月期间,35例患者中的39例在无全身麻醉的情况下接受治疗。我们比较了两组肠套叠钡剂复位的成功率,并采用Fisher精确概率检验评估两组成功率是否存在显著差异。
全身麻醉组和无全身麻醉组的总体成功率分别为91%(39/43)和95%(37/39)。全身麻醉的使用对钡剂复位成功率没有显著影响(p>0.3)。
全身麻醉用于肠套叠的水压钡剂复位并未提高该操作的成功率。因此,鉴于其相关弊端,我们建议在该操作过程中不应使用全身麻醉。