成人肠套叠（附44例分析）

Adult intussusception with analysis of 44 cases

本文总结１９６９～１９９０年２２年间住院治疗成人肠套叠４４例。占同期全部肠套叠住院病例２６．４％。急性４０．９％，亚急性３６．４％，慢性２２．７％。５０％有器质性病变，恶性肿瘤占１３．６％。套叠类型：小肠型、小肠—结肠型、结肠型分别占３１．８％、４７．７％、２０．５％。４３例行手术治疗，其中７４．４％做了肠切除吻合术。本组死亡率为９．１％。作者对成人肠套叠的临床特点、诊断与治疗问题进行了讨论。

Forty-four cases of adult intussusception are discussed in the report,all were treated in our hospital from 1969 to 1990, among which 40.9%was acute, 36.4% subacute, 22.7% chronic. 50% had pathologic changes,18.2% was benign tumors and 13.6% malignant. 22.7% had reasons,27.3% has no defenite reasons. 31.8% was ileum type, 47.7% was ileumcolon, 20.5% was colon. 43 cases received operative treatment; 32 cases received enterectomy and entero-anastomosis(74.4%) . 4 cases died, the mortality was 9.1%. In clinical features, diagnosis and treatment of intussusception were discussed in this report.