成人肠套叠的临床研究  

Clinical investigation of intussusception in adults

作　　者：顾春林[1] 霍中华[1] 宋博[1] 侯乐伟[1] 尹鹏[1] 

机构地区：[1]解放军第454医院普外科,南京210002

出　　处：《空军总医院学报》2006年第2期88-90,共3页Journal of General Hospital of Air Force,PLA

摘　　要：目的探讨成人肠套叠的发病机制、临床特点及诊治。方法复习有关文献资料,回顾分析、总结78例成人肠套叠的临床表现、类型、临床诊断、治疗方法及效果。结果阵发性腹痛9例,恶心呕吐54例,腹部包块48例。引起套叠主要原因是良性肿瘤(31例)、恶性肿瘤(28例)、炎性水肿(12例)及不明原因(7例)。71例接受手术治疗,7例行钡灌肠复位。78例均康复出院。结论成人肠套叠多由器质性病变引起,临床表现主要为阵发性腹痛、腹部包块、恶心及呕吐等,无特异性临床症状;诊断主要依据临床表现,腹部B超、CT检查,结合腹部钡透、肠镜等辅助检查,可提高术前诊断率,确诊主要依据术中探查。治疗以手术为主,加强营养支持,注意维持水电平衡等围手术期处理,术后疗效显著。Objective To investigate the pathogenesis, diagnosis and therapy of intussaseeption in adults. Methods The manifestation,type,diagnosis,and treatment of 78 adult patients with intussusception were analyzed retrospectively. Results Sixty-nine patients had abdominal pain, 54 patients had nausea and vomiting,and 48 patients had palpable abdominal mass. The main causes of intussusception were benign （31 patients） or malignant tumor （28 patients）,inflammation edema （12 patients） and other （7 patients）. Severty-one patients were operated on, 7 patients received intussusception restoration by barium enema; All the 78 patients were discharged. Conclusion Most adult intussusceptions have pathological factors; They usually caused by multiple factors. The main manifestation is abdominal pain, palpable abdominal mass, nausea and vomiting, there is no specific manifestation. The diagnosis depends mainly on manifestations and supplementary examinations such as abdominal X-rays, BUS and CT. Operation is the first choice of treatment. Body fluid must be kept balance and the suppourt of total parenteral nutrition （TPN） is important for the perioperation period.

关 键 词：肠套叠/外科学 回顾性研究 

分 类 号：R574.304.51[医药卫生—消化系统] R656[医药卫生—内科学]