[1]胡章春,谭亚兰,郭万亮,等.儿童继发性肠套叠发病原因及治疗效果的研究[J].临床小儿外科杂志,2018,17(03):197-201.
　Hu Zhangchun,Tan Yalan,Guo Wanliang,et al.Study of etiologies and therapy of secondary intussusception in children.[J].Journal of Clinical Pediatric Surgery,2018,17(03):197-201.
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儿童继发性肠套叠发病原因及治疗效果的研究

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年03期 页码: 197-201 栏目: 论著 出版日期: 2018-03-28
Title:
Study of etiologies and therapy of secondary intussusception in children.
作者:
胡章春; 谭亚兰; 郭万亮; 等
苏州大学附属第一医院放射科
Author(s):
Hu Zhangchun1; Tan Yalan1; Guo Wanliang1; Huang Zhijian3.
1.Department of Radiology，The First Affiliation Hospital of soochow University,Suzhou,China；
关键词:
肠套叠／ 诊断;  肠套叠／ 治疗;  儿童
Keywords:
Intussusception/DI;  Intussusception/TH;  Child
文献标志码:
A
摘要:
目的　探讨儿童继发性肠套叠的临床特点和发病原因，以期提高儿童肠套叠的诊治水
平。　方法　回顾性分析本院收治的４０ 例儿童继发性肠套叠患儿的临床表现、发病原因及治疗方法。
　结果　４０ 例患儿中，临床表现为腹痛３２ 例，呕吐２９ 例，血便２０ 例，腹部扪及包块２５ 例。术中见回回
结型１４ 例，回盲型１５ 例，小肠型５ 例，回结型４ 例，回回盲型１ 例，２ 例肠坏死。发病原因：梅克尔憩室
２３ 例，肠重复畸形１１ 例，肠系膜淋巴结炎２ 例，肠息肉２ 例，肠肿瘤２ 例。由梅克尔憩室引起的肠套叠
均空气灌肠整复失败，由肠重复畸形引起的肠套叠空气灌肠整复成功率约７７． ８％ ，由其它继发因素引
起的肠套叠整复成功率约３３． ３％ 。　结论　当儿童年龄超过２ 岁时，继发性肠套叠在各年龄段所占比
例明显增加，梅克尔憩室是主要继发因素。病程超过１ ｄ 或反复发生肠套叠者需警惕继发性肠套叠。
Abstract:
ObjectiveTo explore the clinical characteristics and etiologies of secondary intussusception and improve the ability of its diagnosis and therapy.MethodsWe retrospectively reviewed 40 cases.Clinical manifestations，etiologies and therapeutic modalities were reviewed.ResultsClinical manifestations included abdominal pain (n=32)，vomiting (n=29)，hematochezia (n=20) and abdominal mass (n=25).All reductions by air enema of intussusception caused by Meckels diverticulum failed while successful reduction rate by air enema of intussusception caused by intestinal duplication was around 77.8% and successful reduction rate by air enema due to other secondary factors stood at around 33.3%.Surgery was performed on 40 cases.Ileoilealcolic intussusception (n=14)，ileocecal intussusception (n=15)，small intestinal intussusception (n=5)，ileocolic intussusception (n=4)，ileoileocecal intussusception (n=1) and intestinal necrosis (n=2).The causes were Meckels diverticulum (n=23)，intestinal duplication deformity (n=11)，mesenteric lymphnoditis (n=2)，intestinal polyp (n=2) and tumor (n=2).ConclusionThe risk of secondary intussusception increases markedly in children aged over 2 years.And Meckels diverticulum remains a major cause.Intussusception lasting more than 1 day or repeated intussusception should have secondary causes examined.
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