成人肠套叠32例临床诊治体会  

Diagnosis and therapy of adult intussusception

作　　者：邱庆安[1] 杨毅军[1] 张世杰[1] 吕云福[1] 

机构地区：[1]海南省人民医院普外科,海南海口570311

出　　处：《海南医学》2011年第5期83-84,共2页Hainan Medical Journal

摘　　要：目的探讨成人肠套叠的临床特点和诊治方法。方法回顾性分析我院32例成人肠套叠临床资料。手术方式有肠肿瘤根治性切除17例,肠部分切除术12例,单纯复位或复位固定术3例。结果术前误诊12例(37.5%),腹痛32例,呕吐20例,便血5例,全部手术治疗。引起肠套叠的原因主要是良性肿瘤12例,恶性肿瘤17例,不明原因3例。患者均康复出院。结论成人肠套叠误诊率高,多继发于肠道良恶性肿瘤,治疗应首选手术。Objective To study the clinical characteristics of diagnose and treatment methods for adult intussusception.Methods The clinical data of 32 cases with adult intussusception were analyzed retrospectively.Results 37.5%（12 cases） was misdiagnosed before operation.There were 32 cases with stomachache,20 cases with emesia,5 cases with hematochezia,and all the patients cured via operation.The main reasons of adult intussusception were benign tumor（12 cases） and malignant tumor（17 cases）,and 3 cases had not clear reason.Modus operandi included radical excision intestinal tumor corresponding section of bowels resection,simple reposition or resetting pexis.Conclusion The rate of misdiagnoses is high.Adult intussusception proceeds behind intestinal tract benign tumor and malignant tumor,and surgical intervention is the first choice.

关 键 词：成人肠套叠 临床诊治 

分 类 号：R574.3[医药卫生—消化系统]