Surgical operation of infantile intussusception
10.3760/cma.j.issn.1008-6315.2010.01.023
- VernacularTitle:小儿肠套叠的手术治疗
- Author:
Bing XU
;
Hu LIU
;
Chuancheng SUN
- Publication Type:Journal Article
- Keywords:
Intussusception;
Intestinal necrosis;
Surgical operation;
Infant
- From:
Clinical Medicine of China
2010;26(1):55-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the operative indication,procedure and postoperative complication of infantile intussusception.Methods Clinical data of 316 infants suffering intussusception in the past 38 years(1971-2008)were reviewed.There were 186 male,130 female.One hundred and eishty-six patients (58.9%,186/316) were younger than 6 months,and 78.2%(247/316)had suffered for more than 3 days.The proportion of abdominal intermittent pain and vomiting was 96.8%(306/316)and 87.7%(277/316),respectively.IIeum-colon ascendens was 35.4%(112/316)and ileum-ileum-colon ascendens was 37.3%(118/316).The proportion of intestinal necrosis was 36.7%(116/316).Two hundred patients (63.3%,200/316) were operated with simplified reposition and 36.7%(116/316)Was operated with intestinal resection.Results One patient with appendiceal abscess was misdiagnosed as intussucseption.Three cases of intussusception had repositioned automatically during the operation.Eight cases underwent additional operation because of postoperative complication.Three hundred and seven cases were cured, 2 cases discharged voluntarily.Seven cases died.Conclusions Currently most of acute intussusception may be cured with non-operation.Operative indication should be performed strictly.Operative procedure should be chosen on the pathological changes and the status of health.The comphcation could be reduced by intensive perioperation care.
