小儿复发性肠套叠的微创治疗研究  

The Study of Minimally Invasive Treatment in Pediatric Recurrent Intussusceptions

作　　者：包平倩[1,2] 雷泽华[2] 张英毅[2] 彭忠[2] 高峰畏 王志旭[2] 李园[1] 

机构地区：[1]四川大学华西医院小儿外科,四川成都610041 [2]四川省乐山市人民医院外科,四川乐山614000

出　　处：《现代生物医学进展》2015年第28期5469-5471,共3页Progress in Modern Biomedicine

摘　　要：目的：探讨小儿复发性肠套叠（套叠3次及以上）的微创治疗。方法：回顾性分析2007年12月～2013年1月期间收治的21例复发性肠套叠（套叠3次及以上）患儿的临床资料。结果：21例患儿均予以腹腔镜探查,3例患儿仅发现回肠末端肠系膜淋巴结增生,18例探及原发病灶：其中Meckel憩室10例,结肠息肉3例,肠重复畸形2例,非霍奇金淋巴瘤1例,异位胰腺1例,小肠腺瘤1例。20例术后随访至今均未再次复发,1例失访。结论：年龄〉2岁,有多次复发肠套叠病史（套叠3次及以上）,尤其是短期内复发频繁的患儿,大多存在肠道器质性病变,应积极手术治疗,且以腹腔镜治疗为佳。Objective： To explore the minimally invasive treatment of pediatric recurrent intussusceptions（more than 3 times）.Methods： The clinical data of 21 cases of pediatric recurrent intussusceptions were retrospectively analyzed. Results： Laparoscopic exploration was performed in all 21 children. It was not reveal any pathological causes in 3 cases of intussusceptions, however, primary lesions were found in 18 cases： Meckel diverticulums was in cases, colonic polyps was in cases, intestinal duplications in adenoma of small intestine in 1 case. No recurrent occurred in 20 cases of patients who successfully received follow-up after surgery with 1 case of lost to follow-up. Conclusions： For children older than 2 years, recurrent intussusception has repeatedly 3 times and above, especially for those children recrudesced frequently in short-term, most of them presence of intestinal disorders, they should be actively treated by surgery and laparoscopic surgery is preferred.

关 键 词：肠套叠 复发 腹腔镜 儿童 微创 

分 类 号：R726.1[医药卫生—儿科]