Benz G, Roth H, Tröger J, Daum R
Service de Chirurgie pédiatrique, CHU D-69 Heidelberg.
Chir Pediatr. 1987;28(3):155-7.
The retrospective study analyses 219 children with intussusception, who were treated in the Dpt. of Pediatric Surgery, university of Heidelberg between 1942 and 1986. The patients were divided into three groups. The mortality of the first group (1942-1966) was 20%. Since 1966, however, no patient with intussusception was lost. Recent diagnosis advances with ultrasonography allowed early diagnosis and at the same time the complication rate dropped from 34 (group 2, 1967-1981) to 11% (group 3, 1981-1986). Simultaneously the intestinal resection rate was reduced. The developments in diagnosis and therapy during the last 45 years, based on the analyses of the three groups, are discussed in detail with the literature.
这项回顾性研究分析了1942年至1986年间在海德堡大学儿外科接受治疗的219例肠套叠患儿。这些患者被分为三组。第一组（1942 - 1966年）的死亡率为20%。然而，自1966年以来，没有肠套叠患者死亡。超声检查等近期诊断技术的进步实现了早期诊断，同时并发症发生率从34%（第二组，1967 - 1981年）降至11%（第三组，1981 - 1986年）。同时，肠切除率也有所降低。基于三组分析，对过去45年诊断和治疗的发展情况与文献进行了详细讨论。
