Comprehensive treatment strategy and effect analysis of intussusception in children
小儿肠套叠的综合治疗策略及效果分析

摘要

目的 探讨小儿肠套叠的综合治疗的策略及依据病情评估选择适宜的治疗方法的的效果分析。方法 对鄂尔多斯市中心医院2020年4月—2022年4月的368例小儿肠套叠进行病情评估分析，根据综合治疗策略选择适宜的治疗方法，如肠套叠单纯手法复位、空气灌肠复位及腹腔镜下球囊扩张肠套叠复位，对治疗的效果进行分析总结。结果 289例选择单纯手法复位，232例复位成功，复位成功率80.2%；57例单纯手法复位失败转行空气灌肠复位，55例复位成功；79例直接行肠套叠空气灌肠复位成功，空气灌肠复位共136例，134复位成功，复位成功率98.5%。2例空气灌肠复位失败的患儿行腹腔镜下Foley导尿管球囊扩张复位术+阑尾切除术，手术顺利，术后5天治愈出院。结论 小儿肠套叠根据综合治疗策略，依据病情评估选择合适的治疗方式，达到了以创伤最小、并发症最少和恢复最快的治疗效果，是小儿肠套叠治疗的合理和安全有效方法。

Abstract

Objective To explore the strategy of comprehensive treatment of intussusception in children and the effect of selecting appropriate treatment methods according to the evaluation of the condition.
Methods To evaluate and analyze the condition of 368 children with intussusception in Ordos Central Hospital from April 2020 to April 2022, and select appropriate treatment methods according to comprehensive treatment strategies, such as simple manual reduction of intussusception, air enema reduction and laparoscopic balloon dilation intussusception reduction, and analyze and summarize the treatment effect.
Results In 289 cases of simple manual reduction, 232 cases were successful, with a success rate of 80.2%; 57 cases failed in manual reduction and were replaced by air enema, 55 cases succeeded in reduction; 79 cases of intussusception were successfully reduced by air enema directly, 136 cases were successfully reduced by air enema, 134 cases were successfully reduced by air enema, and the success rate of reduction was 98.5%. Two children with failed air enema were treated with laparoscopic Foley catheter balloon dilatation and reduction plus appendectomy. The operation was successful, and they were cured and discharged 5 days later.
Conclusion   According to the principle of comprehensive treatment strategy, children intussusception can be treated safely and effectively by selecting appropriate treatment methods according to the condition evaluation, which can achieve the good effect of intussusception reduction with the least trauma, the least complications and the fastest recovery .