成人肠套叠146例临床分析  

Clinical analysis of adult intussusception： a report of 146 cases

作　　者：阙长榕[1] 许东波[1] 卢清平[1] 李军[1] 林双明[1] 陈建勋[1] 陈龙[1] 李文锋[1] 

机构地区：[1]福建医科大学附属龙岩第一医院,福建龙岩364000

出　　处：《腹部外科》2014年第4期292-294,F0004,共4页Journal of Abdominal Surgery

摘　　要：目的分析成人肠套叠的临床特点，探讨该病的诊断和治疗，提高诊疗水平。方法对1996年1月至2013年12月期间收治的146例成人肠套叠临床资料行回顾性研究。结果术前确诊89例，占60．9%，其中B超10例，钡灌肠13例，肠镜6例，CT60例（67．5％）。146例均行手术治疗，其中142例合并器质性病变，小肠病变占99例（69．7％），结肠病变占43例（30．3％o），良性病变100例（70．4％），恶性病变42例（29．6％），143例行肿瘤根治性切除术或相应肠段切除术，2例行单纯复位，1例行复位后固定术。5例术后死亡，余均恢复良好。结论提高对成人肠套叠警惕性是诊断的关键，检查应首选腹部CT，必要时可结合腹部彩超等检查，治疗则首选手术治疗，尽早手术。Objective To analyze the clinical characteristics of adult intussusception and im- prove its diagnostic and treatment levels. Methods The clinical data of 146 surgical patients with adult intussusception were reviewed retrospectively. Results Among them, 89 patients （60. 9%） received a definite preoperative diagnosis. The diagnostic modalities included ultrasound type B （n = 10）, barium enema （n = 13）, electronic colonoscopy （n = 6） and computed tomography （CT） （n = 60）. And 142 of them had organic lesions, including small intestinal lesions （69. 7%）, colonic lesions （30. 3%）, benign lesions （70. 4%） and malignant lesions （29. 6%）. The procedures included radical tumor resection or partial intestinal resection （n = 143）, replacement surgery alone （n = 2） and fixation （n = l）. And the postoperative outcomes were curing （n = 141） and mortality （n = 5）. Conclusions Enhanced vigilance of adult intussusception is a diagnostic key. CT proves to be the most useful diagnostic mo- dality. When necessary, abdominal color ultrasound or other examinations may be added. Operation is a first choice.

关 键 词：肠套叠 外科手术治疗 

分 类 号：R656[医药卫生—外科学]