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POSTOPERATIVE INTUSSUSCEPTION IN CHILDREN: A REVIEW OF 14 CASES 被引量:4

POSTOPERATIVE INTUSSUSCEPTION IN CHILDREN: A REVIEW OF 14 CASES
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摘要 Objective To search the etiologic factor, clinical diagnosis points and treatment of postoperative intussusception ( PI ).Methods To retrospectively review the clinical materials of 14 cases with PI including the cause of disease and treatment.Results PI occurred within 10 days (average 4 days) after the primary operation. Bowel obstructive symptoms gradually emerged. One case was diagnosed with intussusception by sonography and received enema reduction of intussusception by hydrostatic pressure. Thirteen cases were performed secondary operation. Small intestine was main site of intussu- sception. Manual reduction of the lesion was performed in 12 cases and bowel resection and anastomosis was done in 1 case with bowel necrosis. Conclusion PI should be suspected if child presents with the symptoms of ileus in early postoperative period. Abdominal sonography may have some value on diagnosis of Pl. Operation is the first choice for the treatment of PI.
出处 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第4期265-267, ,共3页 中国医学科学杂志(英文版)
关键词 postoperative intussusception CHILD SURGERY 手术治疗 肠套叠 儿童 病理机制
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参考文献4

  • 1[1]Pumberger W,Pomberger G,Wiesbaucr P.Postoperative intussusception:an overlooked complication in pediatric surgical oncology.Med Pediatric Oncol 2002;38:208-10.
  • 2[2]Raffensperger JG,Baker RJ.Postoperative intestinal obstruction in children.Arch Surg 1967;94:450-9.
  • 3[3]Tiao MM,Wan YL,Ng SH,et al.Sonographic features of smallbowel intussusception in pediatric patients.Acad Emerg Med 2001;8:368-73.
  • 4[4]Doi O,Aoyama K,Hutson JM.Twenty-one cases of small bowel intussusception:the pathophysiology of idiopathic intussusception and the concept of benign small bowel intussusception.Pediatr Surg Iht 2004;20:140-3.

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