1165例小儿急性肠套叠的临床流行病学分析

Epidemiology analysis of 1165 cases with child intussusception

目的：探讨小儿急性肠套叠的临床流行病学特征，为预防和治疗小儿急性肠套叠提供理论依据。方法回顾性分析2014年本院收治的1165例急性肠套叠患儿临床资料，分析内容包括流行病学特征、诊断与治疗方法、临床疗效。结果1165例患儿年龄3个月至6岁，其中3～6个月684例（占58．71％）；6个月至1岁110例（占6．44％）；1至3岁192例（占16．48％）；3至6岁179例（占14．60％）。体重超重108例（占9．27％）；人工喂养518例（占57．94％）；发病前有腹泻病史者168例（占14．42％）。临床表现为阵发性哭闹、烦躁922例（占79．08％），呕吐346例（占29．70％），排果酱样大便805例（占69．10％），腹部扪及包块841例（占72．19％）；1103例超声检查阳性（占94．68％），直肠指诊阳性874例（占74．76％）。首诊确诊1128例（占96．82％）；误诊37例（占3．18％）。全部患儿均经空气灌肠或手术治疗痊愈。随访3～9个月，无一例复发，无死亡病例。结论小儿肠套叠临床表现典型，年龄、体重、喂养方式，以及腹泻、上呼吸道感染等与发病有一定相关性。病程与治疗选择有一定相关性。早期诊断，早期治疗，疗效较好。

Objetive The study was purposed to analysis the clinical epidemiological characteristics of acute intussusceptions in children,and provide the theoretical foundation of prevention and treatment for acute intussusceptions.Methods 1 165 pediatric patients with acute intussusceptions were collected by a retrospec-tive study from Hunan Children′s Hospital between Jan 01 th 2014 and Dec 31 th 2014.In the study,the epide-miological characteristics,diagnosis,treatment,and clinical curative effect for acute intussusceptions were ana-lyzed.Results A total of 1 165 children have been diagnosed with acute intussusceptions,the majority of pe-diatric patients were boy （785 /1 165）,ranging in age from 3 months to 6 years.Most of the cases were char-acteristic of paroxysmal crying,vomiting,abdominal mass,jam of appearance.The correlation between age, weight,feeding patterns,diarrhea,upper respiratory tract infection and acute intussusceptions has been dem-onstrated by the study.All pediatric patients were recovered by air enema and surgical treatment.There was no recurrence,no deaths by Followed up for 3 ~9 months. Conclusions Pediatric intussusception has typical clinical manifestations,and there is a typical concentric circles by ultrasound.Early diagnosis and early treat-ment can obtain satisfactory clinical effect.