成人肠套叠150例临床总结

Clinical analysis of adult intussusception,a report of 150 cases

目的探讨成人肠套叠的病因、临床分型、诊断以及手术方式的选择。方法回顾性总结 15 0例成人肠套叠的临床表现、肠套叠类型及诊断与治疗方法。结果 15 0例中具有阵发性腹痛者 135例 ( 90 0 % ) ,腹部肿块 97例 ( 6 4 7% ) ,恶心呕吐 87例 ( 5 8 0 % ) ,血便 31例 ( 2 0 7% ) ,顽固性便秘 15例 ( 10 0 % ) ;15 0例中同时具有腹痛、腹块、血便者 2 2例 ( 15 3% )。肠套叠的主要原因为良、恶性肿瘤 ,炎症 ,Meckel憩室和移动盲肠症。 15 0例肠套叠均行手术治疗 ,14 7例痊愈 ,3例死亡。结论成人肠套叠多有病理因素存在。早期的诊断依据是临床表现和辅助检查。

Objective To analyse pathogenesis, types, diagnosis and operation methods of adult intussusception. Methods Clinical data of 150 patients with adult intussusception were reviewed retrospectively . Results Symptom included paroxysmal bellyache (90 0%), abdominal mass (64 7%), nausea and vomit (58 0%), hematochezia (20 7%), constipation (10%) and symptom triad of bellyache , mass and hematochezia (15 3%). Tumor, inflammation, Meckel′s diverticulum and mobile cecum were main cause for intussusception. All 150 patients received operation, 147 patients were cured and 3 patients died. Conclusions Most patients of adult intussusception had pathological basis. The result of surgical therapy is good.