Bachy B, Borde J, Mitrofanoff P, Lefort J, Cheysson E
Chir Pediatr. 1983;24(2):144-7.
220 children with intussusception were treated at Rouen Children's Hospital between 1969 and 1981. The patients are separated in four groups according to the treatment: --primary operation without barium enema, --operation after failure of the barium enema, --surgical control after reduction by barium enema, --barium enema alone. This study shows that in the third group, the operation did not demonstrate neither any "lead-point", nor any intestinal damage requiring resection. A "lead-point" or an intestinal lesion have been found only in intussusceptions which had not been reduced by barium enema. Thus, one can conclude that a surgical control is useless when the barium enema is successful. The technique of the enema is described.
1969年至1981年间，鲁昂儿童医院共收治了220例肠套叠患儿。根据治疗方法，将患者分为四组：——未行钡剂灌肠的一期手术；——钡剂灌肠失败后手术；——钡剂灌肠复位后手术对照；——单纯钡剂灌肠。本研究表明，在第三组中，手术未发现任何“引导点”，也未发现任何需要切除的肠道损伤。仅在钡剂灌肠未复位的肠套叠中发现了“引导点”或肠道病变。因此，可以得出结论，当钡剂灌肠成功时，手术对照是无用的。文中描述了灌肠技术。
