医源性小儿肠套叠发病概率及病因分析

Incidence and cause analysis of iatrogenic pediatric intussusception

目的:初步探讨医源性肠套叠的发病几率及发病机制及其在小儿肠套叠病因中所占的比率。方法:对448例小儿肠套叠病例的病因及诊疗过程进行回顾性分析和探讨。结果:448例小儿肠套叠病例中,原发性肠套叠442例(98.66%),其中追溯病史,1周内有口服缓泻剂、胃肠动力药物及治疗性药物灌肠史等可疑医源性肠套叠患者有76例;继发性肠套叠6例,其中,美克尔憩室2例,回盲部息肉3例,回盲部血肿1例。结论:小儿肠套叠以原发性为主,其中医源性肠套叠发病几率不容忽视。

Objective： To discuss the incidence of iatrogenic risk of intussusception and pathogenesis,its percentage of the etiology of pediatvic intussusception.Methods： The clinical data of 448 pediatric intussusception cases of etiology and inasie procedure were retrospectively analyzed and discussed.Results： 448 cases of pediatric intussusception in 442 patients with primary intussusception（accounting for 98.66%）,where a history of back within a week with oral laxatives,gastrointestinal drugs and therapeutic drugs such as enema history of patients with suspected intussusception in 76 cases of iatrogenic;secondary intussusception in 6 cases,of which Meckel’s diverticulum 2 cases,3 cases of polyps cecum,ileocecal hematoma in 1 case.Conclusion： Pediatvic intussusception is primary-based,including the incidence of iatrogenic risk of intussusception can not be ignored.