Department of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
The First Affiliated Hospital of Wenzhou Medical University, Baixiang South, Wenzhou, Zhejiang, 325000, China.
J Gastrointest Surg. 2019 Nov;23(11):2255-2262. doi: 10.1007/s11605-019-04178-0. Epub 2019 Mar 11.
Intussusception is among the most common acute abdominal emergencies in infancy, but only some cases need surgical reduction. This study assessed the clinical characteristics of patients undergoing surgical reduction of intussusception.
This retrospective study reviewed 568 pediatric patients who failed air-enema reduction and underwent surgical reduction for intussusception in our department between 2008 and 2017.
The series comprised 376 boys and 192 girls (2.0:1, male:female ratio) and most of the intussusceptions were primary, which is typical before the age of 1 year. The success rate of air-enema reduction in our hospital was 94.2%. Patients over 3 years old had the highest rate of surgical reduction (ca. 11.8%). The probabilities of primary and secondary intussusception were equal above 2 years old. Intussusception caused by intestinal malignant lymphoma was diagnosed above 2 years of age with atypical symptoms. Gender was irrelevant regarding the presence of bloody stools (P = 0.594), but the younger patients and children with complex/compound intussusception had a higher proportion of bloody stools (n = 148, 40.0%, P = 0.000) and intestinal necrosis (n = 44, 42.3%, P = 0.024). The occurrence time of bloody stools (OTBS) in complex/compound intussusception was shorter than for other types.
This retrospective study analyzed the clinical features of patients undergoing surgical reduction for intussusception and summarized the characteristics and management of complex/compound intussusception.
肠套叠是婴儿期最常见的急性腹部急症之一，但只有部分病例需要手术复位。本研究评估了接受肠套叠手术复位的患者的临床特征。
本回顾性研究回顾了 2008 年至 2017 年期间我科因肠套叠空气灌肠复位失败而接受手术复位的 568 例儿科患者。
该系列包括 376 名男孩和 192 名女孩（男女比例为 2.0:1），大多数肠套叠为原发性，这在 1 岁以下儿童中很常见。我院空气灌肠复位成功率为 94.2%。3 岁以上患者手术复位率最高（约 11.8%）。2 岁以上患者原发性和继发性肠套叠的概率相等。由肠道恶性淋巴瘤引起的肠套叠以上 2 岁起病，症状不典型。血性便的发生与性别无关（P=0.594），但年龄较小的患者和复杂性/复合性肠套叠患者血性便（n=148，40.0%，P=0.000）和肠坏死（n=44，42.3%，P=0.024）的比例较高。复杂性/复合性肠套叠中血性便的发生时间（OTBS）较短。
本回顾性研究分析了接受肠套叠手术复位患者的临床特征，并总结了复杂性/复合性肠套叠的特点和处理方法。
