Neĭkov G N
Khirurgiia (Mosk). 1992 Nov-Dec(11-12):27-30.
The work discusses the results of analysis of clinical diagnostics of intestinal intussusception in 197 children and their treatment. Age peculiarities of the clinical course of intussusception were revealed. The characteristic pathomorphological changes of the walls of the invaginated portion of the intestine were studied according to the duration of the disease and the type of intussusception. The causes of the inefficacy of nonoperative correction of the invagination are identified. The tactics of intussusception management and the indications for operative treatment were elaborated on the basis of these data. The author suggests his own method for desinvagination. Operations were conducted on 62 children. Nonoperative treatment by the method developed by the clinic was applied in 169 (85.7%) children, the invaginated portion was reduced in 139 (82.2%) children and the treatment proved ineffective in 30 (17.8%) children. The author recommends the method for reduction developed at the clinic as the method of choice in the management of intestinal intussusception in children.
该研究探讨了197例儿童肠套叠的临床诊断分析结果及其治疗情况。揭示了肠套叠临床病程的年龄特点。根据疾病持续时间和肠套叠类型，研究了套入部肠壁的特征性病理形态学变化。确定了非手术复位套叠无效的原因。基于这些数据阐述了肠套叠的治疗策略及手术治疗指征。作者提出了自己的复位方法。对62例儿童进行了手术。169例（85.7%）儿童采用了该诊所研发的方法进行非手术治疗，139例（82.2%）儿童的套入部得以复位，30例（17.8%）儿童治疗无效。作者推荐该诊所研发的复位方法作为儿童肠套叠治疗的首选方法。
