Sanz N, Sánchez M, García Aroca J, Taoubeh K, García C, Rollán V
Servicio de Cirugía Pediátrica, Hospital del Niño Jesús, Madrid.
Cir Pediatr. 1996 Jan;9(1):21-4.
At the Hospital Niño Jesús air pressure enema has recently replaced the use of barium as treatment of choice in the reduction of intussusception. The purpose of this study was to review the air enema reductions done from June 1992 to February 1994 in 137 patients (group II) and to compare them with a previous series of 153 patients that underwent barium reduction treatment (group I). The groups were similar with regard to sex, age and presentins symptoms as well as clinical signs. Successful reduction was achieved in 131 patients (85.6%) out of 146 attempts treated with barium enema and in 124 patients (90.5%) out of 134 attempts treated with air enema. Among the unsuccessful reduction cases, operation was performed in 22 cases in group I and in 13 cases of group II. In the group I there were two perforations during the reduction attempt, while in group II we did not have any with the air enema. There were two recurrent intussusceptions following barium enema reduction and nine following air enema reduction in the first 48 hours. Patients treated with air enema stayed less days at hospital (1,6 days) than those treated with barium (3 days). We believe that the air enema treatment is easy to perform, is lower in cost and presents less morbility, and that it should be considered as the treatment of choice in the initial management of intussusception.
在尼诺·赫苏斯医院，气压灌肠法最近已取代钡剂，成为肠套叠复位治疗的首选方法。本研究的目的是回顾1992年6月至1994年2月对137例患者（第二组）进行的空气灌肠复位情况，并将其与先前接受钡剂复位治疗的153例患者（第一组）进行比较。两组在性别、年龄、现有症状以及临床体征方面相似。在146次钡剂灌肠治疗尝试中，131例患者（85.6%）成功复位；在134次空气灌肠治疗尝试中，124例患者（90.5%）成功复位。在复位失败的病例中，第一组有22例进行了手术，第二组有13例进行了手术。在第一组中，复位尝试期间有2例穿孔，而在第二组中，空气灌肠未出现任何穿孔情况。在最初48小时内，钡剂灌肠复位后有2例复发性肠套叠，空气灌肠复位后有9例。接受空气灌肠治疗的患者住院天数（1.6天）比接受钡剂治疗的患者（3天）少。我们认为，空气灌肠治疗操作简便、成本较低且发病率较低，应被视为肠套叠初始治疗的首选方法。
