Fiegel Henning, Gfroerer Stefan, Rolle Udo
Department of Paediatric Surgery and Paediatric Urology, University Hospital of the Goethe-University Frankfurt/M., Frankfurt/M, Germany.
Acta Paediatr. 2016 Nov;105(11):1275-1279. doi: 10.1111/apa.13567.
Intussusception is the most clinically relevant cause of bowel obstruction in infancy and can be idiopathic or occur as a result of pathological lead points. The incidence of these pathological lead points varies from 0.3 to 20%, and they can be mucosal, intramural or extrinsic structures. A systematic literature review was performed from 1998 to 2016 to evaluate the incidence and types of pathological lead points in paediatric intussusception, and this identified 31 epidemiological and retrospective case cohort studies, reviews and case reports.
Pathological lead points were frequent in intussusceptions and not limited to infants.
肠套叠是婴儿期肠梗阻最具临床相关性的病因,可为特发性或由病理性引导点引起。这些病理性引导点的发生率在0.3%至20%之间,可为黏膜性、壁内性或外部结构。我们进行了一项1998年至2016年的系统文献综述,以评估小儿肠套叠中病理性引导点的发生率和类型,共纳入31项流行病学和回顾性病例队列研究、综述及病例报告。
病理性引导点在肠套叠中很常见,且不限于婴儿。