成人肠套叠25例临床分析

Clinical Analysis of Intussusception in Adults:A Review of 25 Cases

目的:探讨成人肠套叠的病因、临床表现、诊断与治疗方法。方法:回顾性分析2001年1月至2011年6月本院收治的25例成人肠套叠的临床资料。结果:25例巾,腹痛19例;恶心、呕吐8例;腹部包块10例;血便5例。术前诊断肠套叠20例。术中发现小肠套叠7例,回盲肠套叠13例,结肠套叠5例。25例均行手术治疗。术后病理显示:良性肿瘤5例(小肠平滑肌瘤1例,小肠脂肪瘤2例,结肠脂肪瘤2例);恶性肿瘤16例(结肠癌15例,恶性淋巴瘤1例);炎症1例;不明原因3例。25例全部痊愈。结论:成人肠套叠以肠道肿瘤多见,主要病因为良、恶性肿瘤,其诊断主要依据是临床表现和辅助检查,治疗以手术为主。

Objective： To investigate the pathogenesis, clinical manifestations, diagnosis and treatment of adult intussuscep- tion. Methods： Clinical data of 25 adults with intussusception from January 2001 to June 2011 were analyzed retrospectively. Results： Nineteen cases had abdominal pain, 8 cases had nausea and vomiting, 10 cases had palpable abdominal mass, 5 cases had the bloodwill. Twenty cases were diagnosed as intussusception before surgery. During surgery, intestinal intussusceptions were found in 7 cases, ileocecal intussusception in 13 cases, colonic intussusception in 5 cases. All the 25 cases underwent operation. Post-operative patholo- gy showed that 5 eases were benign tumors （one ease of intestinal leiomyoma, 2 cases of intestine lipoma, 2 cases of colon lipoma） ; Sixteen cases were cancers （ 15 cases of colon cancer, 1 case of malignant lymphoma） ; one case was inflammation; The causes of 3 ca-ses were unidentified. All patients were recovery. Conclusion： Intestinal tumors are commonly found in adult intussusception, mainly due to benign and malignant tumors. The diagnosis is mainly based on clinical manifestations and laboratory examinations. Operation is the first choice for treatment.