Tang Xiao Bing, Zhao Jia Yu, Bai Yu Zuo
1 Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang, China.
*These authors contributed equally to this work.
J Int Med Res. 2019 Feb;47(2):859-866. doi: 10.1177/0300060518814120. Epub 2018 Dec 16.
Intussusception is a common paediatric abdominal emergency in infants. The first-line treatment of choice in uncomplicated paediatric intussusception is enema reduction. The study aim was to provide an overview of the current national practice of enema reduction of paediatric intussusception in China.
A questionnaire on enema reduction of paediatric intussusception was sent to respondents (members of the Pediatric Anorectal Group, the Neonatal Group, the Society of Pediatric Surgery and the China Medical Association).
Data from 128 questionnaires were analysed. Of these, 78.1% (100/128) reported the use of fluoroscopy, 17.2% (22/128) use of ultrasound monitoring, 78.9% (101/128) use of air and 17.9% (23/128) use of normal saline. A total of 78.9% (101/128) reported a success rate of 90%, 25.8% (33/128) reported that a paediatric surgeon managed the reduction, 18.8% (24/128) that a radiologist managed the reduction and 44.5% (57/128) that a paediatric surgeon and radiologist jointly managed the reduction.
There is large variation in the techniques of enema reduction of intussusception in China. Fluoroscopy-guided air enema reduction is mainly used. Enema reduction of uncomplicated cases of paediatric intussusception in China lacks standardization of equipment and personnel involvement.
肠套叠是婴幼儿常见的儿科腹部急症。单纯性小儿肠套叠的一线治疗选择是灌肠复位。本研究旨在概述中国目前小儿肠套叠灌肠复位的全国实践情况。
向受访者（小儿肛肠学组、新生儿学组、小儿外科学会和中华医学会成员）发送了一份关于小儿肠套叠灌肠复位的问卷。
分析了128份问卷的数据。其中，78.1%（100/128）报告使用了透视，17.2%（22/128）使用了超声监测，78.9%（101/128）使用了空气，17.9%（23/128）使用了生理盐水。共有78.9%（101/128）报告成功率为90%，25.8%（33/128）报告由小儿外科医生进行复位，18.8%（24/128）报告由放射科医生进行复位，44.5%（57/128）报告由小儿外科医生和放射科医生共同进行复位。
中国肠套叠灌肠复位技术存在很大差异。主要采用透视引导下空气灌肠复位。中国单纯性小儿肠套叠灌肠复位在设备和人员参与方面缺乏标准化。
