成人肠套叠病因和外科治疗决策

目的探讨成人肠套叠的病因和外科治疗决策。方法对1997年1月～2005年10月期间我院收治的57例成人肠套叠临床资料进行回顾性分析。结果术前确诊19例，57例中37例行手术治疗，其中良性11例，恶性26例；余20例为手术或外伤后、肠道炎症、盲肠过长等。2例死亡，余均恢复良好，43例随访1个月～8年，无肠套叠复发。结论提高对成人肠套叠的认识是诊断的关键，治疗则首选手术治疗。

Diagnosis and Treatment of Intussusception in Adults( Report of 57 Cases)

Objective To improve diagnosis and therapy of intussusception in adult.Methods The clinical datas of 57 hospitalized cases with intussusception in adult were collected from Jan.1997 to May. 2006.Results 19 cases were diagnosised preoperation37 of 57 cases wereoperated on ,among them ,11 cases benigh,26 cases with malgnent disease.2 cases died of serious condition,the others recovery smoothly, 43 cases followed up for 8 mon to 8 years without relapse one.Conclusions The key is to emphasis on the disease and the primary choice was to operat on.