回肠固定术无助于预防小儿肠套叠的复发

Ileopexy is Not Helpful in Preventing Recurrence of Ileocolic Intussusception in Children

目的:本研究分析三种不同小儿肠套叠手术方法后的复发率,以便了解回肠固定术是否有助于预防肠套叠复发。方法:总结了本院15年来232例小儿肠套叠患儿的资料,并追踪至术后6年。分析三种不同小儿肠套叠手术方法(单纯肠套叠复位;肠套叠复位+回肠固定于后腹膜上;肠套叠复位+回肠固定于升结肠上)的患儿肠套叠的复发率。结果:单纯肠套叠复位的患儿复发率为5.9%,;肠套叠复位+回肠固定于后腹膜上的患儿复发率为6.0%;肠套叠复位+回肠固定于升结肠上的患儿复发率为6.2%。三组间的复发率比较无统计学意义。结论:与单纯肠套叠手术复位相比,回肠固定术无助于预防小儿肠套叠复发。

Objective： The present study compared the incidence of recurrent intussusception after three different surgical procedures for intussusception in children. Method： The charts of 232 children undugoving surgical reduction of ileocolic intussusception over 15 years were retrospectively reviewed. The incidence of recurrent intussusception was compared among the three surgical procedures： simple manual reduction, manual reduction plus ileopexy one, and manual reduction plus ileopexy two. Result： There were five episodes of recurrence （5.9%） in patients who had simple manual reduction, four episodes （6.0%） in patients who had undergone ileopexy one, and five episodes （ 6.2% ） after ileopexy two. There was no statistical difference in recurrent rate among the three groups. Conclusion： Ileopexy is not better than simple manual reduction in preventing recurrence of ileocolic intussusception in children.