临床小儿外科杂志2018，Vol.17Issue(3)：197-201,5.DOI:10.3969/j.issn.1671-6353.2018.03.008
儿童继发性肠套叠发病原因及治疗效果的研究
Study of etiologies and therapy of secondary intussusception in children
摘要
Abstract
Objective To explore the clinical characteristics and etiologies of secondary intussusception and improve the ability of its diagnosis and therapy.Methods We retrospectively reviewed 40 cases.Clinical manifestations,etiologies and therapeutic modalities were reviewed.Results Clinical manifestations included abdominal pain(n=32),vomiting(n=29),hematochezia(n=20)and abdominal mass(n=25).All reduc-tions by air enema of intussusception caused by Meckel's diverticulum failed while successful reduction rate by air enema of intussusception caused by intestinal duplication was around 77.8% and successful reduction rate by air enema due to other secondary factors stood at around 33.3%.Surgery was performed on 40 cases.Ileo-il-eal-colic intussusception(n=14),ileo-cecal intussusception(n=15),small intestinal intussusception(n=5),ileo-colic intussusception(n=4),ileo-ileo-cecal intussusception(n=1)and intestinal necrosis(n=2). The causes were Meckel's diverticulum(n=23),intestinal duplication deformity(n=11),mesenteric lymph-noditis(n=2),intestinal polyp(n=2)and tumor(n=2).Conclusion The risk of secondary intussuscep-tion increases markedly in children aged over 2 years.And Meckel's diverticulum remains a major cause.Intus-susception lasting more than 1 day or repeated intussusception should have secondary causes examined.关键词
肠套叠/诊断/肠套叠/治疗/儿童Key words
Intussusception/DI/Intussusception/TH/Child引用本文复制引用
胡章春,谭亚兰,郭万亮,黄志见..儿童继发性肠套叠发病原因及治疗效果的研究[J].临床小儿外科杂志,2018,17(3):197-201,5.基金项目
江苏省卫生计生委科研项目(编号:H201519),苏州市民生科技项目(编号:SYS201762) （编号:H201519）
