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find Keyword "灌肠" 18 results
  • Clinical Application of Digital Gastrointestinal Machine and Modified Hypotonic DoubleContrast Barium Enema Technique

    ObjectiveTo improve the efficacy of colon doublecontrast barium enema examination by using digital gastrointestinal machine and modified enema techniques. MethodsSixtyfour patients were examined on digital remote controlled gyration table, with oral coloncleansing preparation and selfmade disposable plastic bag. Results In 64 patients, up to 93.8% were found with none or little fecal materials in the cecum and ascending colon. 80% of the results were scored excellent, and 95% were accurate for making diagnosis. All the patients underwent the examination successfully. ConclusionDigital gastrointestinal machine examination combined with modified hypotonic doublecontrast barium enema is a simple, convenient and efficient way to clearly demonstrate colonic mucosa, and help increase the detection and diagnosis rate.

    Release date:2016-08-28 04:43 Export PDF Favorites Scan
  • 婴幼儿急性肠套叠空气灌肠治疗

    目的 总结婴幼儿急性肠套叠X线透视下空气灌肠整复经验体会,提高整复成功率。 方法 对2011年1月-12月入院、并经空气灌肠及手术证实276例肠套叠患儿的临床资料进行回顾性分析。 结果 经空气灌肠复位成功268例,其中5例延迟再灌复位成功,6例肠套叠空气灌肠整复失败转为手术治疗,2例未经空气灌肠直接手术治疗,整复率达97.1%(268/276)。患儿全部治愈无并发症,无一死亡。 结论 X线透视下空气灌肠诊断及整复治疗婴幼儿肠套叠,操作简便,是一项较好的治疗手段,而手法得当将达到满意的治疗结果;延迟再灌复位成功率较高,值得推广应用。

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  • Diagnostic value of intra-intestinal angiography CT in patients with anastomotic leakage after rectal cancer resection

    ObjectiveTo investigate the diagnostic value of intra-intestinal angiography CT in patients with anastomotic leakage (AL) after rectal cancer resection.MethodsPatients who admitted to The Department of General Surgery of The No. 900 Hospital of The Joint Logistic Team from January 2013 to October 2018, who were diagnosed with rectal cancer and underwent rectal cancer resection with sphincter preserving surgery, were retrospectively collected in the study. All patients underwent routine imaging examination on the 7th day after rectal cancer operation. The retrograde contrast enema (RCE) was performed to obtain the abdominal X-ray film, then the pelvic CT scan was performed to get the CT image of the intestinal lumen. The films were reviewed by 2 senior radiologists, and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of RCE and intra-intestinal angiography CT in the diagnosis of AL after rectal cancer resection were evaluated. Evaluated the sensitivity of the CT image feature to predict AL after rectal cancer resection.ResultsThe sensitivity, specificity, PPV, and NPV of RCE in the diagnosis of AL after the rectal cancer resection were 69.23% (18/26), 98.64% (218/221), 85.71% (18/21), and 96.46% (218/226) respectively. The sensitivity, specificity, PPV, and NPV of intra-intestinal angiography CT were 96.15% (25/26), 99.09% (219/221), 92.59% (25/27), and 99.54% (219/220) respectively. The sensitivity and NPV of intra-intestinal angiography CT in diagnosis of AL were significantly higher than those of RCE (P<0.05). The sensitivity of contrast agent leakage to diagnosis of AL was the highest, reaching 96.15% (25/26).ConclusionsThe sensitivity of intra-intestinal angiography CT in the diagnosis of AL is high and the overall diagnostic efficiency is better than RCE, and the leakage of contrast agent is the main imaging feature of AL. It is significant to guide the clinical practice.

    Release date:2019-05-08 05:37 Export PDF Favorites Scan
  • CLINICAL MANAGEMENT OF INFANTS INTUSSUSCEPTION BY REDUCTION WITH AIR ENEMA UNDER X-RAY FLUOROSCOPY (REPORT OF 162 CASES)

    目的 探讨婴幼儿肠套叠空气灌肠复位的指征、操作方法和中转手术的时机。方法 对我院1993~1998年5年间在X线透视下行空气灌肠复位治疗的婴幼儿肠套叠162例进行回顾性分析。结果 复位成功者148例,成功率为91.4%,其余14例中转手术治疗。随访1~5年,预后良好。结论 空气灌肠复位是婴幼儿肠套叠早期治疗的首选 方法,应谨慎把握其适应证,熟练掌握操作方法,不应轻易放弃而过早手术。但对病程较长,伴有腹膜炎体征或复位失败者,须及时手术治疗。

    Release date:2016-08-28 05:30 Export PDF Favorites Scan
  • 康复新液保留灌肠治疗婴幼儿秋季腹泻

    目的 婴幼儿秋季腹泻病是儿科常见病、多发病,其中以轮状病毒感染居多。为探索一种新的安全有效的治疗方法,采用康复新液保留灌肠治疗,观察其对治疗婴幼儿秋季腹泻的疗效。 方法 将2011年1月-2012年12月住院确诊为秋季腹泻的123例患儿随机分成两组,治疗组61例,对照组62例,分别给予康复新液和生理盐水灌肠治疗。 结果 治疗组56例显效,3例有效,总有效率96.72%;对照组37例显效,10例有效,总有效率75.8%。治疗组疗效优于对照组(P<0.05)。 结论 康复新液保留灌肠治疗秋季腹泻病有较好的疗效,可改善临床症状,缩短疗程。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 空气灌肠整复小儿肠套叠临床分析

    【摘要】 目的 探讨空气灌肠整复小儿肠套叠的方法,提高整复成功率。方法 2007年1月—2008年12月经超声明确诊断小儿急性肠套叠患儿328例,行空气灌肠诊断(压力4~6 kPa)和整复(压力7~14 kPa),分析整复成功率与肠套叠发生时间、套头所在部位、使用解痉药物之间的关系。结果 空气灌肠整复成功306例,成功率93%,其中68例为二次整复。整复率与肠套叠发病时间、患儿全身情况及肠套叠的病理类型、整复压力的掌握及解痉药物的适时选用有关。结论 采用适当的操作方法,利用空气灌肠整复小儿肠套叠能提高成功率。

    Release date:2016-09-08 09:37 Export PDF Favorites Scan
  • 婴幼儿检查前水合氯醛灌肠效果影响因素分析

    【摘要】 目的 总结婴幼儿检查前应用水合氯醛灌肠镇静效果的影响因素及对策。 方法 2008年11月-2010年11月对450例进行MRI、CT、多导心电图等检查前的患儿应用10%水合氯醛灌肠。 结果 308例(68.4%)在20 min内进入睡眠,85例(18.9%)患儿能在20~30 min内进入睡眠镇静,57例(12.7%)无效。 结论 水合氯醛保留灌肠的效果受时间、体位等诸多因素影响,采取必要的措施就能提高灌肠的有效率。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Effectiveness of Chinese Herbal Retention Enema in Viral Hepatitis Patients: A Meta-Analysis

    Objective To evaluate the effectivenss of Chinese herbal retention enema in viral hepatitis patients. Methods Such databases as The Cochrane library, PubMed, EMbase, VIP, CNKI, CBM and WanFang Data were searched from the inception to December, 2011 to collect the randomized controlled trials (RCTs) about Chinese herbal retention enema in treating viral hepatitis, and the references of the included literature were also retrieved. Two reviewers independently screened the literature according to the inclusion and exclusion criteria, extracted the data, and evaluated and cross-checked the methodological quality. Then meta-analysis was conducted using RevMan 5.0 software. Results A total of 20 RCTs involving 1 735 patients were included. The subgroup analyses based on the length of intervention time showed that: a) after 2-week intervention: the overall effective rate of the Chinese herbal retention enema group was higher than that of the control group, with a significant difference (OR=3.19, 95%CI 1.87 to 5.44, Plt;0.000 1). Compared with the control group, the Chinese herbal retention enema group better promoted the recovery of liver function by more reduction of AST (MD= ?82.50, 95%CI ?145.66 to ?19.34, P=0.01), ALT (MD= ?44.78, 95%CI 65.90 to ?23.66, Plt;0.000 1) and TBIL (MD= ?37.51, 95%CI ?74.07 to ?0.95, Plt;0.0001). b) After 1-month intervention: The overall effective rate of the Chinese herbal retention enema group was higher than that of the control group, with a significant difference (OR=4.17, 95%CI 2.37 to 7.32, Plt;0.000 01). Compared with the control group, the Chinese herbal retention enema group better promoted the recovery of liver function by more reduction of AST (MD= ?17.86, 95%CI ?29.97 to ?5.76, P=0.004), ALT (MD= ?27.84, 95%CI ?42.45 to ?13.24, P=0.000 2), and TBIL (MD= ?54.15, 95%CI ?116.52 to ?8.23, P=0.09). Conclusion Chinese herbal retention enema can improve the overall effective rate for viral hepatitis patients, alleviate virus damage to liver cell and promote liver function recovery. The commonly used Chinese medicinals for enema are Radix et Rhizoma Rhei, Herba Artemisiae Capillaris, Salvia miltiorrhiza, and Radix Paeoniae Rubra.

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  • 两种灌肠法在小儿先天性巨结肠中的效果分析

    目的探讨小儿先天性巨结肠术前灌肠方法及效果。 方法对2012年3月-2013年12月93例先天性巨结肠术前患儿,分别采用传统的一次性灌肠器(对照组)和改良的一次性清创器(试验组)进行灌肠,观察比较两种灌肠法的作用及效果。 结果使用一次性清创器灌肠在堵管率、灌肠时间、灌肠液用量及灌肠效果上均优于传统的一次性灌肠器(P<0.05),两组患儿均无并发症发生。 结论使用一次性清创器灌肠,可以减少大便堵管率,节约灌肠的时间,提高灌肠工作效率 。

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  • Clinical Efficacy of Western Conventional Treatment Based on Traditional Chinese Medicine Retention Enema on Hepatic Encephalopathy: A Meta-analysis

    ObjectiveTo evaluate the efficacy of western conventional treatment based on traditional Chinese medicine retention enema on patients with hepatic encephalopathy. MethodsSuch databases as the Cochrane Library, PubMed, EMbase, VIP, CNKI, CBM and WanFang Database were searched from the inception to November 2013 to collect randomized controlled trials (RCTs) about Western conventional treatment based on traditional Chinese medicine retention enema to treat hepatic encephalopathy, and the references of the included literature were also retrieved. Two reviewers independently screened the literature according to the inclusion and exclusion criteria, extracted the data, and evaluated and cross-checked the methodological quality. Then meta-analysis was conducted using RevMan 5.1 software. ResultsA total of 26 RCTs involving 1 691 patients were included. The subgroup analyses based on the length of intervention time showed that when the course of treatment intervention was less than one, the overall effective rate of the Chinese herbal retention enema group was higher than that of the control group, with a significant difference[RR=1.34, 95%CI (1.25, 1.44), P<0.000 01]; after more than one course of treatment intervention, the overall effective rate of the Chinese herbal retention enema group was higher than that of the control group, with a significant difference[RR=1.34, 95%CI (1.21, 1.48), P<0.000 01]. ConclusionOn the basis of available evidence, the western medicine treatment based on traditional Chinese medicine retention enema for hepatic encephalopathy has a certain effect. However, the heterogeneity among the included studies is large. It is necessary to design multicenter, strictly randomized and double-blind test controlled trials with large samples to validate these conclusions and to further confirm the clinical curative effect.

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