| 回盲部异常韧带切断预防原发性小儿肠套叠手术复位后复发 |
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| 引用本文： | 林涵,王銮虹. 回盲部异常韧带切断预防原发性小儿肠套叠手术复位后复发[J]. 临床和实验医学杂志, 2012, 11(4): 277-278 |
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| 作者姓名： | 林涵 王銮虹 |
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| 作者单位： | 1. 汕头大学医学院第一附属医院小儿外科,广东,汕头,515041
2. 汕头大学医学院附属肿瘤医院妇瘤科,广东,汕头,515031 |
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| 基金项目： | 广东省医学科研基金，汕头市重点科技计划项目，汕头市重点科技计划项目 |
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| 摘 要： | 目的 探讨回盲部异常韧带切断是否有助于预防肠套叠复发.方法 总结181例原发性小儿肠套叠患儿的资料,并追踪至术后2年.分析两种不同手术方法(单纯肠套叠复位;肠套叠复位+回盲部异常韧带切断)的患儿肠套叠的复发率.结果 单纯肠套叠复位的患儿复发率为5.9%;肠套叠复位+回盲部异常韧带切断的患儿复发率为0.两组间的复发率比较差异有统计学意义(P<0.05).结论 与单纯肠套叠手术复位相比,回盲部异常韧带切断有助于预防原发性小儿肠套叠复发.
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| 关 键 词： | 小儿 肠套叠 回盲部异常韧带切断 复发 |
The effective measure for prevention of recurrence of ileocolic intussusception in children with cutting longitudinal ligament of ileocolic junction |
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| LIN Han,WANG Luan-hong. The effective measure for prevention of recurrence of ileocolic intussusception in children with cutting longitudinal ligament of ileocolic junction[J]. Journal of Clinical and Experimental Medicine, 2012, 11(4): 277-278 |
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| Authors: | LIN Han WANG Luan-hong |
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| Affiliation: | 1 Department of Pediatric Surgery,First Hospital,Shantou University Medical School,Shantou Guangdong 515041,China;2 Department of Gynecology,Shantou University Medical College Affiliated Tumor Hospital,Shantou Guangdong 515031,China |
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| Abstract: | Objective To explore the effectiveness of cutting longitudinal ligament for prevention of relapse of intussusception in children after surgical correction.Ileopexy had no effect for preventing the recurrence of intussusception.The present study discussed the preventing effect of recurrence of intussusception by cutting longitudinal ligament of ileocolic junction.Methods The clinical data of 181 children undergoing surgical reduction of ileocolic intussusception were retrospectively reviewed.The incidence rate of recurrent intussusception was compared between following two surgical procedures： simple manual reduction and manual reduction plus cutting longitudinal ligament of ileocolic junction.Results There were five episodes of recurrence（5.9%） in patients with simple manual reduction and zero episode（0） in patients with another procedure.There was statistically significant difference in recurrence rate between these two groups.Conclusion Manual reduction plus cutting longitudinal ligament of ileocolic junction is better than simple manual reduction in preventing recurrence of ileocolic intussusception in children after operation. |
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| Keywords: | Children； Intussusception； Cutting longitudinal ligament of ileocolic junction； Recurrence； |
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