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扎里亚儿童与成人肠套叠的比较

Intussusception in children and adults in Zaria: a comparison.

作者信息

Ameh E A, Dogo P M, Nmadu P T

机构信息

Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

出版信息

Cent Afr J Med. 1996 Jul;42(7):207-9.

PMID:8936787
Abstract

OBJECTIVES

To compare and contrast the symptomatology and the anatomical type of the intussusception in children and adults in Zaria.

DESIGN

Retrospective study.

SETTING

Hospital.

SUBJECTS

93 patients with intussusception.

MAIN OUTCOME MEASURES

Frequency of intussusception.

RESULTS

Colicky abdominal pain featured often enough in both groups with most symptoms and signs decreasing in frequency from infancy to adulthood. The ratio of small bowel to large bowel disease in infants, older children and adults was 1;8:1, 0;6:1 and 1:1 respectively. Infantile intussusception involving the small bowel was more common, and in older children large bowel involvement was commoner, while 50pc of adult intussusceptions were paradoxically small bowel. Overall, small bowel intussusception was most common with the ileocolic variety predominating.

CONCLUSIONS

The most common type of intussusception in our environment is the ileocolic variety.

摘要

目的

比较和对比扎里亚地区儿童和成人肠套叠的症状学及解剖类型。

设计

回顾性研究。

地点

医院。

研究对象

93例肠套叠患者。

主要观察指标

肠套叠的发生率。

结果

两组患者均常出现绞痛性腹痛,多数症状和体征的发生率从婴儿期到成年期呈下降趋势。婴儿、大龄儿童和成人小肠与大肠疾病的比例分别为1:8:1、0:6:1和1:1。婴儿期小肠型肠套叠更为常见,大龄儿童大肠受累更为常见,而成人肠套叠中有50%为小肠型,这很反常。总体而言,小肠型肠套叠最为常见,以回结肠型为主。

结论

在我们的研究环境中,最常见的肠套叠类型是回结肠型。

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