成人肠套叠诊治的临床分析  

Clinical Evaluation on Diagnosis and Treatment of Adult Intussusception

作　　者：庹晓红 熊廷刚 汤先畴 刘瑞芬 

机构地区：[1]湖南省张家界市人民医院普外科,427000

出　　处：《中华临床医学卫生杂志》2007年第4期1-2,共2页China Journal of Clinical Medicine Hygiene

摘　　要：目的探讨成人肠套叠的临床分型，诊断及手术方式。方法回顾性分析我院1998年1月～2005年12月收治的130例成人肠套叠的临床资料。结果成人肠套叠临床表现主要是腹痛、恶心呕吐、腹部肿块和血便。其中腹痛者117例（90．0％），腹部肿块125例（96．15％），恶心呕吐72例（55.38％），血便35例（26．92％）。130例均行手术治疗，128例痊愈，2例死亡。结论早期的诊断依据是临床表现和辅助检查，肠切除术是根除病因和防止复发的主要手段。Objective To evaluate the clinical types diagnosis and operative methods of adult intussusception. Methods The clinical data of 130 patients with adult intussusception admitted from January, 1998 to December, 2005 were reviewed, retrospectively. Results The clinical manifestations mainly included abdominal pain, nausea and vomit, abdominal mass and hematochezia, Abdominal pain for 117（90.0%）, abdominal mass for 125（96.15%）, nausea and vomit for 72（55.38%） and hematochezia for 35（26,92%）, All patients received operation, 128 patients were cured and 2 patients died. Conclusion The early diagnosis are clinical manifestations and examination, computed method and resection of the involved intestine would be the effective measure for eradication of the causes and prevention of recurrence.

关 键 词：肠套叠诊 断肠 切除术 

分 类 号：R574.3[医药卫生—消化系统]