Bautista Casasnovas A, Varela Cives R, Nieto Vázquez B, Pavón Belinchón P, Rodrigo Sáenz E, Abellas Rosende B, Castro-Gago M
Servicio de Cirugía Pediátrica, Hospital General de Galicia, Clínico Universitario, Santiago de Compostela, La Coruña.
An Esp Pediatr. 1988 Oct;29(4):279-83.
Authors review 70 consecutive cases of intussusception treated from 1969 to 1984. Most patients (87.5%) were under one year, and male/female ratio was 2/1. Nutritional status was good as 75.7% were above 50 percentiles for age. There was a higher seasonal incidence in spring and summer. Most frequent presenting symptom were weeping/pain (87.1%), rectal bleeding (82.8%) and vomiting (78.5%). Typical symptomatology was present in only 48.5%. Plain X-ray of abdomen and ultrasonography are the best diagnostic aid (91.4% and 90%). Hydrostatic reduction was successful in 30.1% whereas 51 cases had to be operated with a resection rate of 27.5%. Half of the patients over two years had an organic leading point. Complications, 8.6% were related with age, clinical course and need for bowel resection.
作者回顾了1969年至1984年连续治疗的70例肠套叠病例。大多数患者（87.5%）年龄在1岁以下，男女比例为2:1。营养状况良好，75.7%的患者年龄体重高于第50百分位数。春夏季发病率较高。最常见的症状是啼哭/疼痛（87.1%）、直肠出血（82.8%）和呕吐（78.5%）。仅有48.5%的患者有典型症状。腹部平片和超声检查是最佳诊断辅助手段（分别为91.4%和90%）。水压复位成功30.1%，51例患者需手术治疗，切除率为27.5%。两岁以上患者中有一半有器质性引导点。并发症发生率为8.6%，与年龄、临床病程及肠切除需求有关。
