小儿肠套叠手术影响因素的临床研究

CLINICAL RESEARCH OF OPERATIVE INFLUECE FACTORS ON INTUSSUSCEPTION IN CHILDREN

目的通过对肠套叠患儿临床资料的回顾性分析,观察发病时间、发病年龄、肠套叠类型等因素对患儿临床表现、手术方式、术后并发症的影响,探讨其临床意义。方法回顾性分析10年来手术治疗的183例急性肠套叠患儿的临床资料,根据不同的发病时间、发病年龄、肠套叠类型进行分组对比研究。结果不同发病时间对患儿肠梗阻发生率、肠切除率有显著的影响(P<0.05);不同发病年龄对患儿血便发生率有显著影响(P<0.05);不同肠套叠类型对肠切除率有显著影响(P<0.05)。结论发病时间、发病年龄及套叠类型是影响肠套叠疾病的重要因素,临床可用来评估患儿病情的严重程度,预测手术方式及预后。

Objective To investigate the influence on onset, age, type of postoperative intussusception in operative methods,postoperative complications and prognosis. Methods Totally 183 cases with acute postoperative intussusception were reviewed and compared by dividing them into two groups by different onset, age and type. Results There were remarkable influence on different onset to intestinal obstruction and colectomy incedence （P〈0.05）; different ages were relative with biood stool incedence （P〈0.05） ; different types also lead to colectomy incedence （P〈0.05）. Conclusions The onset, age and type acted as the vital influence factors can to judge the serious level of disease, they are to be decided the operative method and prognosis.