CAJ | 학술논문

目的：探讨多次重复空气灌肠治疗小儿肠套叠的价值及安全性，以提高空气灌肠治疗小儿肠套叠的治愈率。方法对本院2010年7月～2014年2月130例行空气灌肠治疗的特发性小儿肠套叠临床资料进行回顾性分析。结果130例行空气灌肠治疗小儿肠套叠中119例空气灌肠治疗获得成功，成功率为91.5%，21例行重复空气灌肠治疗，11例获得成功，成功率为52.4%。10例重复空气灌肠复位未成功者均出现回肠末端套入部周围空气环绕。1例因首次空气灌肠发生肠穿孔而未行重复灌肠治疗。结论重复空气灌肠治疗小儿肠套叠是一种安全、有效的方法，能提高复位成功率。在患儿临床情况稳定的情况下，应行延迟的重复空气灌肠治疗。回肠末端周围空气环绕可作为小儿肠套叠空气灌肠治疗难以复位成功的一个重要征象。
목적：탐토다차중복공기관장치료소인장투첩적개치급안전성，이제고공기관장치료소인장투첩적치유솔。방법대본원2010년7월～2014년2월130례행공기관장치료적특발성소인장투첩림상자료진행회고성분석。결과130례행공기관장치료소인장투첩중119례공기관장치료획득성공，성공솔위91.5%，21례행중복공기관장치료，11례획득성공，성공솔위52.4%。10례중복공기관장복위미성공자균출현회장말단투입부주위공기배요。1례인수차공기관장발생장천공이미행중복관장치료。결론중복공기관장치료소인장투첩시일충안전、유효적방법，능제고복위성공솔。재환인림상정황은정적정황하，응행연지적중복공기관장치료。회장말단주위공기배요가작위소인장투첩공기관장치료난이복위성공적일개중요정상。
Objective To discus the value and safety of using delayed,repeated air reduction attempts to cure pediatric intussusceptions and to raise its successful rate.Methods We performed a retrospective analysis of all intussucception cases seen at our hospital from July 2010 to February 2014.Results Enema reduction was attempted in 130 cases and 119 cases were successful.Successful air enema reduction rate was 91.5%.Delayed,repeated reduction attempts were used in 22 patiens and were successful in 50% of the cases.In 10 cases who were failed to reduce the intussusception by delayed,repteated air enema reductions air was seen encircling the intussusceptum in the distal small bowel.ConclusionAir enena associated with the use of delayed,repeated reduction attemps is a safe and effective way for intussusception reduction with a high successful rate.Delayed,repeated air enema reduction attempts should be considered when the initial attempt manages to move the intussusceptum and the patient remains clinically stable.Air encircling the intussusceptum in distal small bowel can serve as an important symptom which indicates air enema attemps are unlikely to succeed.