成人肠套叠患者分析：结肠型与肠型肠套叠比较。
Profiling adult intussusception patients: comparing colonic versus enteric intussusception.
机构信息
Department of Surgery, Howard University Hospital, Washington, DC 20060, USA.
出版信息
Am J Surg. 2011 Oct;202(4):487-91. doi: 10.1016/j.amjsurg.2011.02.006.
BACKGROUND
Adult intussusception is a rare entity representing 1% of all adult bowel obstruction, hospital admissions secondary to intussusception historically has ranged between .003% and .02%. There is limited knowledge regarding enteric and colonic surgical intussusception patients and their associated conditions.
METHODS
A retrospective study was conducted using data from the National Inpatient Sample from 1998 to 2006. The inclusion criteria were surgical patients with intussusception.
RESULTS
A total of 1,178 cases of intussusception requiring surgery were isolated from the database. The mean patient age was 49.57 years, about 58% were females, 99.43% of this population was insured, and the overall mortality rate was 1.70%. Colonic resection was associated with greater mortality compared with the enteric resection group (P = .018).
CONCLUSIONS
This was a large study on surgical adult intussusception patients conducted in the United States. We show differences in demography, comorbidities, and potential causes between colonic and enteric intussusception.
背景
成人肠套叠是一种罕见的病症，占所有成人肠梗阻的 1%。历史上，因肠套叠而住院的人数占比在 0.003%至 0.02%之间。关于肠型和结肠型肠套叠患者及其相关病症的了解有限。
方法
本研究使用了 1998 年至 2006 年国家住院患者样本的数据进行回顾性研究。纳入标准为需要手术治疗的肠套叠患者。
结果
从数据库中分离出 1178 例需要手术的肠套叠病例。患者的平均年龄为 49.57 岁，约 58%为女性，该人群的医疗保险覆盖率为 99.43%，总死亡率为 1.70%。与肠切除组相比，结肠切除组的死亡率更高（P =.018）。
结论
这是在美国进行的一项关于成人肠套叠手术患者的大型研究。我们展示了肠型和结肠型肠套叠在人口统计学、合并症和潜在病因方面的差异。
Zotero 插件