15例小儿多发型肠套叠的临床分析

目的 总结小儿多发型肠套叠的发病特点以及诊断和治疗方法.方法 回顾分析近10年收治的15例小儿多发型肠套叠病例临床表现、肠套叠数量及发生部位、诊断和治疗经验.结果 15例多发型肠套叠患儿均于术中确诊,其中1例术前超声提示多发型肠套叠;共发生肠套叠36个,其中回结型肠套叠15个、小肠小肠型肠套叠11个;继发性3例,原发性12例.结论 小儿多发型肠套叠诊断困难,术前难以明确,容易漏诊,超声检查可以帮助诊断;治疗以手术为主.

Clinical analysis on 15 cases of multiple intussusception in children

Objective To summarize the clinical characteristics and diagnostic and treatment method for children with multiple intussusception.Methods Retrospective analysis during the past 10 years was used in treated 15 cases in clinical manifestations of pediatric multiple intussusception,intussusception number and the occurrence site,diagnosis and treatment,and then summarized them.Results 15 cases of multiple intussusception were diagnosed during surgery,and 1 case of ultrasonography showed multiple intussusception before surgery; 15 cases of multiple found 36 intussusception,including 15 ileum-colon intussusception,11 Jejunum intussusception.Secondary 3 cases,12 cases of primary.Conclusion Multiple intussusception is difficult for diagnosis in children,and difficult to clear before surgery,easily missed,ultrasound can help diagnose; surgery should be the first treatment measure.