Peyvasteh Mehran, Askarpour Shahnam, Javaherizadeh Hazhir, Beigom Al-Taha Bibimaryam
Department of Pediatric Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Pol Przegl Chir. 2011 Jun;83(6):304-9. doi: 10.2478/v10035-011-0047-z.
Intussusception is a curious anatomic condition characterized by the invagination of one segment of the gastrointestinal tract into the lumen of an adjacent segment. Once initiated, additional intestinal telescopes into the distal segment, causing the invaginated intestine to propagate distally within the bowel lumen. The aim of the study was to evaluate the clinical manifestation, etiology, and outcome of intussuception at atypical ages.
This retrospective study was carried out on patients aged <6 mo or >2 yr with intussusception. Duration of study was from March, 20, 1997 to March, 20, 2008. The places of study were Imam Khomeini and Abuzar referrals hospital. Cases were classified according to age and sex. According to age, patients were <6 mo, 2-10 years, 10-18, and more than 18 years. Age, sex, history, chief complaint, clinical manifestation, sonographic findings, duration of clinical manifestation, method of treatment, outcome, duration of hospital staying, and ICU admission were studied. Data were analyzed with SPSS ver 16 (Chicago, IL, USA) and Epi-info.
In this study, 36 cases with diagnosis of intussusception at atypical ages, <6 mo or >2 yr, were included. From all cases, 21 cases (58.3%) were 2 through 10 years and male: female ratio was 2.26:1. Ten cases (27.8%) had history of medical condition. Eighty percent (29 cases) had abdominal pain and 20 cases (58.3%) had vomiting. Abdominal mass was found in 14 cases (38.8%). Sonography was done for 30 (83.3%) of cases and suggesting intussuception in 25 (69.4%) of cases. Intussuception was reduced by hand and performed appendectomy for 10 cases (27.8%). Bowel resection was done for 19 cases (52.8%) and radiological reduction was done for 2 cases (5.6%). Eighteen (50%) cases had anemia. Twenty-five cases admitted to ICU. One (2.8%) patient died (a 65 year old woman). Appendicitis is the most common well defined injury associated with intussusception.
This study showed that with advancing age, incidence of intussusception will be decreased. As age increasing, rate of bowel resection will be increased. All cases with appendectomy and reduction by hand had hospital staying 3-10 days. The results of this study was similar to other studies. The most widely used diagnostic procedure for intussusception was sonography.
肠套叠是一种奇特的解剖学状况，其特征为胃肠道的一段套入相邻段的肠腔内。一旦发生，更多的肠管会套入远段，导致套入的肠管在肠腔内向远侧蔓延。本研究的目的是评估非典型年龄段肠套叠的临床表现、病因及转归。
本回顾性研究针对年龄小于6个月或大于2岁的肠套叠患者开展。研究时间为1997年3月20日至2008年3月20日。研究地点为伊玛目霍梅尼和阿布扎尔转诊医院。病例按年龄和性别分类。根据年龄，患者分为小于6个月、2至10岁、10至18岁以及大于18岁。对年龄、性别、病史、主要症状、临床表现、超声检查结果、临床表现持续时间、治疗方法、转归、住院时间及入住重症监护病房情况进行研究。数据采用SPSS 16版（美国伊利诺伊州芝加哥）和Epi-info软件进行分析。
本研究纳入36例非典型年龄段（小于6个月或大于2岁）诊断为肠套叠的病例。所有病例中，21例（58.3%）年龄在2至10岁，男女比例为2.26:1。10例（27.8%）有病史。80%（29例）有腹痛，20例（58.3%）有呕吐。14例（38.8%）可触及腹部肿块。30例（83.3%）进行了超声检查，其中25例（69.4%）提示肠套叠。10例（27.8%）手法复位肠套叠并行阑尾切除术。19例（52.8%）行肠切除术，2例（5.6%）行放射学复位。18例（50%）有贫血。25例入住重症监护病房。1例（2.8%）患者死亡（一名65岁女性）。阑尾炎是与肠套叠相关的最常见明确损伤。
本研究表明，随着年龄增长，肠套叠发病率降低。随着年龄增加，肠切除率升高。所有行阑尾切除术和手法复位的病例住院时间为3至10天。本研究结果与其他研究相似。肠套叠最常用的诊断方法是超声检查。
