Amr Mahmoud A, Polites Stephanie F, Alzghari Mohammad, Onkendi Edwin O, Grotz Travis E, Zielinski Martin D
Department of Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55901, USA.
Department of Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55901, USA.
Am J Surg. 2015 Mar;209(3):580-3. doi: 10.1016/j.amjsurg.2014.10.019. Epub 2014 Dec 15.
The purpose of this study was to describe a single institution's experience with adult intussusception and determine how this was influenced by evolving computed tomography (CT) technology.
Adults treated between 1978 and 2013 for intussusception were reviewed. CT utilization and utilization of multislice technology over time were determined. Sensitivity of CT was calculated.
A total of 318 patients were identified. CT utilization was 72% and it increased over time. The number of channels ranged from 1 to 128. CT sensitivity was greater than 85% for single and multislice scanners. A lead point was identified in 69% of patients and a malignancy in 40%. Surgical exploration was required in 60% of patients and 40% were managed nonoperatively.
The diagnosis of intussusception in adults is increasing over time, particularly idiopathic intussusception. This is associated with increased utilization of highly sensitive CT technology, which facilitates the safe nonoperative management in many patients.
本研究的目的是描述一家机构在成人肠套叠方面的经验，并确定其如何受到不断发展的计算机断层扫描（CT）技术的影响。
回顾了1978年至2013年间接受治疗的成人肠套叠患者。确定了CT的使用情况以及多层技术随时间的使用情况。计算了CT的敏感性。
共识别出318例患者。CT的使用率为72%，且随时间增加。通道数从1到128不等。单层和多层扫描仪的CT敏感性均大于85%。69%的患者发现有引导点，40%发现有恶性肿瘤。60%的患者需要手术探查，40%采用非手术治疗。
成人肠套叠的诊断随时间增加，尤其是特发性肠套叠。这与高敏感性CT技术使用的增加有关，该技术有助于许多患者的安全非手术治疗。
