Ksia Amine, Mosbahi Sana, Brahim Mohamed Ben, Sahnoun Lassaad, Haggui Besma, Youssef Sabrine Ben, Maazoun Kais, Krichene Imed, Mekki Mongi, Belghith Mohsen, Nouri Abdellatif
Department of Paediatric Surgery, Hopital Fattouma Bourguiba, Medical School of Monastir; Monastir 5000, Tunisia.
Afr J Paediatr Surg. 2013 Oct-Dec;10(4):299-301. doi: 10.4103/0189-6725.125414.
Recurrent intussusceptions in child and infants are problematic and there are controversies about its management. The aim of this study is to determine the details of the clinical diagnosis of recurrent intussusception and to determine the aetiology of recurrent intussusceptions.
It's a retrospective study of 28 cases of recurrent intussusception treated in the paediatric surgery department of Monastir (Tunisia) between January 1998 and December 2011.
During the study period, 505 patients were treated for 544 episodes of intussusception; there were 39 episodes of recurrent intussusceptions in 28 patients; the rate of patients with recurrence was 5.5%. With comparison to the initial episode, clinical features were similar to the recurrent episode, except bloody stool that was absent in the recurrent group (P = 0,016). Only one patient had a pathologic local point.
In recurrent intussusception, patients are less symptomatic and consult quickly. Systematic surgical exploration is not needed as recurrent intussusceptions are easily reduced by air or hydrostatic enema and are not associated with a high rate of pathologic leading points.
儿童和婴儿复发性肠套叠问题较多，其治疗存在争议。本研究旨在确定复发性肠套叠临床诊断的细节，并确定复发性肠套叠的病因。
这是一项对1998年1月至2011年12月期间在突尼斯莫纳斯提尔儿科外科治疗的28例复发性肠套叠病例的回顾性研究。
在研究期间，505例患者接受了544次肠套叠治疗；28例患者出现39次复发性肠套叠；复发率为5.5%。与初次发作相比，临床特征与复发发作相似，但复发组无血便（P = 0.016）。仅1例患者有病理局部点。
在复发性肠套叠中，患者症状较轻且就诊迅速。由于复发性肠套叠可通过空气或水压灌肠轻松复位，且与病理性引导点的高发生率无关，因此无需进行系统性手术探查。
