Riebel T W, Nasir R, Weber K
Department of Pediatric Radiology, University Clinic Rudolf Virchow-Wedding, Free University, Berlin, Germany.
Radiology. 1993 Aug;188(2):513-6. doi: 10.1148/radiology.188.2.8327707.
Over a period of 3 3/4 years, hydrostatic reduction of ileocolic intussusception was performed under sonographic guidance in 47 cases (a total of 41 consecutive patients). The enema consisted of a mixture of isotonic electrolyte solution and water-soluble contrast medium (9:1 ratio) and was given at a hydrostatic pressure of 80-100 cm water. Reduction was successful in 83% of cases (n = 39). Even initially remaining ileo-ileal intussusception could finally be reduced in two cases. No complications were observed. Since, in comparison with other conservative methods of reduction, the success rate was not substantially worse (versus that of pneumatic reduction) or was even higher (versus that of barium enema reduction), the method described can be recommended for wider use because of the substantial reduction in radiation exposure.
在3又3/4年的时间里，对47例（共41例连续患者）回结肠套叠进行了超声引导下的水压复位。灌肠液由等渗电解质溶液和水溶性造影剂的混合物（9:1比例）组成，在80 - 100厘米水柱的水压下给予。83%的病例（n = 39）复位成功。甚至最初残留的回肠 - 回肠套叠在两例中最终也得以复位。未观察到并发症。由于与其他保守复位方法相比，成功率并不显著更低（与气钡灌肠复位相比）或甚至更高（与钡剂灌肠复位相比），鉴于辐射暴露大幅减少，所描述的方法可推荐更广泛使用。
