成人肠套叠的特点及临床对策
CHINESE JOURNAL OF CLINICAL MEDICINE(2005)
Abstract
目的:探讨成人肠套叠的特点和诊治对策.方法:回顾性分析35例成人肠套叠的临床资料.结果:(1)腹痛为最常见症状,共32例(92.4%),有腹部肿块者12例(34.3%),有血便者8例(22.9%);(2)术前确诊为肠套叠者9例(25.7%),肠梗阻13例(37.1%),腹部包块疑消化道肿瘤7例(20%),急性阑尾炎3例(8.6%);(3)引起肠套叠的病变有:小肠肿瘤21例(60.0%),美克尔憩室4例(11.4%),盲肠游离症4例(11.4%),结肠肿瘤3例(8.6%)等;(4)本组病例除1例结肠腺瘤性息肉行纤维结肠镜切除术外均行剖腹手术治疗,术后无严重并发症,无死亡病例.结论:(1)成人肠套叠大部分继发于小肠病变,且以小肠肿瘤最多;(2)近端空肠和回盲部是成人肠套叠的易发部位;(3)钡剂灌肠摄片、B超、纤维结肠镜有助于成人肠套叠的诊断,CT为最有诊断价值的检查;(4)治疗首选手术,术中应特别注意近端空肠和回盲部的探查.
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Key words
Intussusception,Treatment
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