Nmadu P T
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
East Afr Med J. 1992 Nov;69(11):640-2.
In many regions of Africa intussusception is the most common cause of intestinal obstruction next to strangulated hernia. More recent reports seem to indicate a change in the clinical pattern of the disease. This retrospective analysis covering a period of ten years is of 85 patients aged between 11 weeks and 50 years. There were 65 males and 20 females; 69 were children between 1 month and 15 years. The anatomical pattern of the disease has changed from being of the caecocolic type to the ileocolic variety while the pathology of the disease has remained largely unidentified. 32 patients had the ileocolic variety. 20 were ileocaecal, 14 colo-colic, 8 caecocolic, 8 ileo ileal, 2 jejuno jejunal, and 1 jejuno ileal. There were 2 ileal and 4 colonic neoplasms. There was a high rate of bowel resection (54/85) and 8 deaths.
在非洲的许多地区，肠套叠是仅次于绞窄性疝的最常见肠梗阻病因。最近的报告似乎表明该病的临床模式有所变化。这项涵盖十年的回顾性分析涉及85例年龄在11周至50岁之间的患者。其中男性65例，女性20例；69例为1个月至15岁的儿童。该病的解剖学模式已从盲结肠型转变为回结肠型，而其病理情况在很大程度上仍不明晰。32例患者为回结肠型。20例为回盲部型，14例为结肠结肠型，8例为盲结肠型，8例为回肠回肠型，2例为空肠空肠型，1例为空肠回肠型。有2例回肠肿瘤和4例结肠肿瘤。肠切除率很高（54/85），有8例死亡。
