成人肠套叠40例临床分析

目的 探讨成人肠套叠的临床特点及诊治措施。方法 对1971—2001年收治的40例成人肠套叠诊治经过进行回顾性分析。结果 成人肠套叠临床表现主要是腹痛、腹胀、呕吐、腹部肿块、血便或便秘。全组病例有腹痛、腹块、血便三联症者仅占17．4％(7／40)。急性肠套叠者易发生肠绞窄，慢性肠套叠者多表现为不全性肠梗阻，早期易于误诊。本组39例行手术治疗，治愈37例，死亡1例；另1例钡灌肠复位成功。结论 B超检查对早期诊断有帮助。肠道肿瘤、息肉、炎症和解剖学异常为本病的主要诱因。肠切除术是根除病因、防止复发的主要手段。

Diagnosis and treatment of intussusception in adults:a report of 40 cases

Objective To assess the clinical characteristics,diagnosis and treatment of intussusception in adults. Methods The clinical data of 40 intussusception patients treated in our hospital from 1971 to 2001 were reviewed. Results The clinical manifestations mainly included abdominal pain, abdominal distention,vomit, abdominal mass, bloody stool or constipation. Patients with the triad signs of abdominal pain, abdominal mass and bloody stool only accounted for 17.4% (7/40). Those who had an acute attack of intestinal obstruction were usually diagnosed as acute mechanical intestinal obstruction, and in which intestinal strangulation took place more easily. Those who had a chronic process often had incomplete intestinal obstruction and were easily misdiagnosed.Of the 40 patients,39 underwent operation,37 cured, 2 died; and another one was cured by barium enema restoration. Conclusions B ultrasonography was helpful in early diagnosis. Bowel tumor, bowel polypus, inflammatory bowel diseases and anatomic abnormality are the main predisposing causes. So resection of the involved intestine would be the proper measure for eradication of the causes and prevention of recurrence.