改良式内镜下逆行阑尾炎治疗术在儿童阑尾炎合并肠套叠的初探(含视频)  

Modified endoscopic retrograde appendicitis therapy for appendicitis with intussusception in children:a primary study(with video)

作　　者：康建琴 张薇 虎崇康 林燕 吴俊青 李玉品 李烨 刘向增 王宝西 曾令超 江逊 Kang Jianqin;Zhang Wei;Hu Chongkang;Lin Yan;Wu Junqing;Li Yupin;Li Ye;Liu Xiangzeng;Wang Baoxi;Zeng Lingchao;Jiang Xun(Department of Pediatrics,Tangdu Hospital,Air Force Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学唐都医院儿科,西安710038

出　　处：《中华消化内镜杂志》2022年第3期231-234,共4页Chinese Journal of Digestive Endoscopy

基　　金：唐都医院学科创新发展计划项目(2018LCYJ003,2021LCYJ043,2021LCYJ009);唐都医院国家自然科学基金助推项目(2021ZTXM-024)。

摘　　要：探讨改良式内镜下逆行阑尾炎治疗术(endoscopic retrograde appendicitis therapy,ERAT)在儿童急性非复杂性阑尾炎合并肠套叠的有效性和安全性。2018年10月-2020年2月,因急性非复杂性阑尾炎合并肠套叠于唐都医院儿科接受改良ERAT治疗的6例患者纳入回顾性分析,总结肠套叠复位率、ERAT阑尾插管成功率、内镜治疗成功率、临床症状缓解时间、白细胞降至正常时间、住院时间、并发症、复发情况等。纳入分析的6例患者内镜下均证实为急性非复杂性阑尾炎合并回盲部肠套叠,均成功进行内镜下肠套叠复位及ERAT,均插管成功。患者自觉腹痛消失平均时间为术后1.3 d,白细胞降至正常的时间为术后1 d,内镜治疗均成功。患者住院时间3~6 d。随访6~12个月,无并发症发生,肠套叠及阑尾炎均无复发。改良式ERAT能在明确诊断的基础上,高效、安全、微创地治疗儿童急性非复杂性阑尾炎合并肠套叠。To investigate the efficacy and safety of modified endoscopic retrograde appendicitis therapy(ERAT)in children with acute uncomplicated appendicitis complicated with intussusception.Data of 6 patients with acute uncomplicated appendicitis complicated with intussusception who received modified ERAT were collected from October 2018 to February 2020 in Pediatrics Department of Tangdu Hospital.The reduction rate of intussusception,the success rate of ERAT appendiceal intubation and endoscopic treatment,the remission time of clinical symptoms,the time of white blood cells return to normal,the length of hospital stay,complications and recurrence were summarized.All the 6 patients were confirmed to be acute uncomplicated appendicitis combined with ileocecal intussusceptions under colonoscopy.Endoscopic intussusception reduction and ERAT were performed successfully.The mean time of disappearance of abdominal tenderness was 1.3 days after the therapy,and the time of white blood cells return to normal was 1 day after surgery.The endoscopic treatment were all successful and the length of hospital stay was 3-6 days.No complications or recurrence of intussusception and appendicitis occurred during the follow-up period of 6-12 months.Modified ERAT can effectively,safely and minimally invitingly treat acute uncomplicated appendicitis with intussusception in children on the basis of definite diagnosis.

关 键 词：阑尾炎 肠套叠 儿童 内镜下逆行阑尾炎治疗术 

分 类 号：R726.5[医药卫生—儿科]