Talabi Ademola Olusegun, Sowande Oludayo Adedapo, Etonyeaku Chiduziem Amarachukwu, Adejuyigbe Olusanya
Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, PMB 5538, Osun State, Nigeria.
Afr J Paediatr Surg. 2013 Jul-Sep;10(3):239-42. doi: 10.4103/0189-6725.120900.
Intussusception is one of the most common causes of intestinal obstruction in children. While the outcome has improved in the developed nations, the same cannot be said of the developing countries, more especially in the sub-Saharan region. This study aims to review our current experience in the management of childhood intussusception and factors affecting surgical outcome at the Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife.
This was a retrospective study of 78 patients treated for intussusception at paediatric surgical unit of Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife between January 1993 and December 2011. The case notes of the patients were retrieved and the following information was recorded: Demographic characteristics, month of occurrence, clinical presentation, investigations, and management as well as the post-operative outcome. The patients were divided into two groups in terms of outcome.
There were 58 males and 20 females (M:F = 2.9-1). The age of most of the patients was between 3 months and 9 months with peak incidence at 6 months. Most patients 46 (58.9%) were seen during the dry season of December to April. Only six patients (7.7%) presented within 24 hours of onset of illness. More than half of the patients presented after 24 hours. Passage of red currant stool, vomiting, abdominal pain, fever, and abdominal distension, passage of watery stool, anal protrusion and palpable abdominal mass in various combinations were the clinical features. All the patients had surgical operations. The most common type of intussusception was ileo-colic type in 64 patients (82.1%). Intestinal resection rate was 41%. The overall mortality rate was 15.4%.
There was a delay in presentation of children with intussusception with high post-operative mortality.
肠套叠是儿童肠梗阻最常见的病因之一。虽然发达国家肠套叠的治疗结果有所改善，但发展中国家，尤其是撒哈拉以南地区并非如此。本研究旨在回顾奥巴费米·阿沃洛沃大学伊费教学医院综合院区在儿童肠套叠管理方面的当前经验以及影响手术结果的因素。
这是一项对1993年1月至2011年12月期间在奥巴费米·阿沃洛沃大学伊费教学医院综合院区儿科外科接受肠套叠治疗的78例患者的回顾性研究。检索患者的病历并记录以下信息：人口统计学特征、发病月份、临床表现、检查、治疗以及术后结果。根据结果将患者分为两组。
男性58例，女性20例（男:女 = 2.9:1）。大多数患者年龄在3个月至9个月之间，发病高峰在6个月。大多数患者46例（58.9%）在12月至4月的旱季就诊。仅6例患者（7.7%）在发病24小时内就诊。超过一半的患者在发病24小时后就诊。果酱样便、呕吐、腹痛、发热、腹胀、水样便、肛门突出以及可触及的腹部肿块等不同组合的临床表现均有出现。所有患者均接受了手术。最常见的肠套叠类型是回结肠型，共64例（82.1%）。肠切除率为41%。总体死亡率为15.4%。
肠套叠患儿就诊存在延迟，术后死亡率较高。
