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目的:探讨小儿复发性肠套叠(套叠3次及以上)的微创治疗。方法:回顾性分析2007年12月~2013年1月期间收治的21例复发性肠套叠(套叠3次及以上)患儿的临床资料。结果:21例患儿均予以腹腔镜探查,3例患儿仅发现回肠末端肠系膜淋巴结增生,18例探及原发病灶:其中Meckel憩室10例,结肠息肉3例,肠重复畸形2例,非霍奇金淋巴瘤1例,异位胰腺1例,小肠腺瘤1例。20例术后随访至今均未再次复发,1例失访。结论:年龄>2岁,有多次复发肠套叠病史(套叠3次及以上),尤其是短期内复发频繁的患儿,大多存在肠道器质性病变,应积极手术治疗,且以腹腔镜治疗为佳。
Objective: To investigate the minimally invasive treatment of children with recurrent intussusception (three times and over). Methods: The clinical data of 21 children with recurrent intussusception (3 times or more) who were treated between December 2007 and January 2013 were retrospectively analyzed. Results: Laparoscopic exploration was performed in all 21 cases. Only 3 cases of mesenteric lymph node hyperplasia were found in the terminal ileum, and 18 cases were detected in the primary lesion. Meckel diverticulum was found in 10 cases, colon polyp in 3 cases, intestinal deformity in 2 cases, 1 case of Hodgkin’s lymphoma, 1 case of ectopic pancreas and 1 case of intestinal adenoma. None of the 20 patients were relapsed after the operation and 1 patient was lost to follow-up. CONCLUSIONS: Patients> 2 years of age who had multiple recurrent intusssgrian intussusception (3 times or more), especially in children with frequent recurrence in the short term, mostly had organic pathological changes of the intestine. They should be actively treated with Laparoscopic treatment is better.