小儿Peutz-Jeghers综合征并发肠套叠的外科治疗分析  

Surgical treatment analysis of intussusception in children with Petz-Jeghers syndrome

作　　者：雷斌[1] 戚雯琰[2] 

机构地区：[1]江西省儿童医院普外科,南昌330006 [2]江西护理职业技术学院护理系,南昌330201

出　　处：《江西医药》2015年第9期854-856,共3页Jiangxi Medical Journal

摘　　要：目的探讨小儿Peutz-Jeghers综合征并发肠套叠的临床特点和外科治疗。方法回顾分析2004年5月-2014年4月收治PJS并肠套叠13例,均采取手术治疗。4例行肠套叠手法复位,其中3例(75%)术后2年内复发后再次手术治疗;5例行肠套叠手法复位+肠管切开取息肉术;4例行肠套叠手法复位+肠切除肠吻合术,其中1例(25%)复发后再次手术。结果 13例治愈出院(100%)。随访1-11年,1例因粘连性肠梗阻(7.69%)再次手术,治愈出院。结论 PJS并肠套叠需根据病情选择合理的手术方式。术中切除大直径息肉,可以减少肠套叠复发率。Objective To investigate the clinical features and surgical treatment of intussusception in children with Petz-Jeghers syndrome. Methods 13 cases of intussusception with PJS,from 2004 May to 2014 April,was analyzed retrospectively. All cases had been operated,Intussusception reduction was performed in 4 cases,but 3 cases（75%） recrudesced in 2 years after operation. Intussusception reduction and intestinal incision polypectomy were performed in 5 cases. Intussusception reduction and intestinal resection anastomosis were performed in 4 cases,but 1 case（25%） recrudesced after operation. Results 13 cases were cured（100%）. During 1 to 11 years follow-up,1 case（7.69%） was re-operated because adhesive intestinal obstruction then cured.Conclusion A reasonable operation mode should be taken for the PJS with intussusception,according to intestine conditions. The recurrence rate of intussusception can be reduced through large diameter polypectomy in surgery.,

关 键 词：PEUTZ-JEGHERS综合征 肠套叠 小儿 

分 类 号：R656[医药卫生—外科学]