小儿肠套叠238例手术治疗体会

来源 :浙江医学 | 被引量 : 0次 | 上传用户:Joetty
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小儿肠套叠是临床上常见急腹症,早期诊断与治疗对预后有重要影响。现将我院1987年~1997年手术治疗的238例报道如下。 临床资料 1.一般资料:本组男147例,女91例;年龄3~26个月,平均7个月。肠套叠为原发性217例(91.2%);继发性21例(8.8%),其中继发于小肠憩室12例,小肠息肉8例,肠旋转不良1例。发病至就诊时间<24h133例,24~48h以内84例,48~72h14例,>72h7例。类型为回回型6例,回盲型98例,回回结型91例,回结结型41例,回回结结等复杂型2例。 Pediatric intussusception is a common clinical acute abdomen, early diagnosis and treatment of prognosis have a significant impact. 238 cases of surgical treatment in our hospital from 1987 to 1997 are reported below. Clinical data 1. General information: The group of 147 males and 91 females; aged 3 to 26 months, an average of 7 months. There were 217 cases (91.2%) of intussusception and 21 cases (8.8%) of secondary recurrence. Among them, 12 cases were secondary to small bowel diverticulum, 8 cases were intestinal polyps and 1 case was intestinal malrotation. The onset to treatment time <24h133 cases, 84 cases within 24 ~ 48h, 48 ~ 72h14 cases,> 72h7 cases. Six cases were typed back, 98 cases were ileocecal, 91 cases were back-knot, 41 cases were back-knot, and 2 were back-knot.
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