Marinaccio F, Nobili M, Niglio F, La Riccia A, Marinaccio M
Divisione di Chirurgia Pediatrica, ASL FG/3.
G Chir. 1997 Apr;18(4):204-8.
The Authors report their experience in the treatment of twenty-one patients with intussusception operated in the Paediatric Surgery Division ASL FG/3 between January 1988 and December 1994. Eighty-nine percent of the patients were between 2 and 12 months of age, with a peak between 2 and 6 months (60%). Ultrasound allowed to identify the pathological picture in forty-two percent of the cases and diagnosis was confirmed by barium enema. In 8 patients a pathology more or less responsible of the intussusception or associated with it was detected. The time between the onset of symptoms and admission as well as the relation between intestinal resection and duration of symptomatology were analyzed. The resection rate was maximal (55%) in those patients presenting symptoms beyond 25 hours. Intestinal resection was performed in 9 patients (47%): 6 ileo-colic; 1 ileo-colic resection extended to the splenic flexure; and 2 ileo-ileal ones. In this series no postoperative complications or recurrences or deaths were registered. Long term results proved that ileo-colic resection, even in few-months old infants, is well tolerated.
作者报告了他们于1988年1月至1994年12月期间在ASL FG/3儿科外科对21例肠套叠患者进行手术治疗的经验。89%的患者年龄在2至12个月之间，2至6个月时达到高峰（60%）。超声在42%的病例中能够识别出病理图像，钡灌肠证实了诊断。在8例患者中，检测到或多或少与肠套叠相关或与之有关的病理情况。分析了症状出现到入院的时间以及肠切除与症状持续时间之间的关系。在出现症状超过25小时的患者中，切除率最高（55%）。9例患者（47%）进行了肠切除：6例回结肠型；1例回结肠切除延伸至脾曲；2例回肠型。在该系列中，未记录到术后并发症、复发或死亡情况。长期结果证明，即使是几个月大的婴儿，回结肠切除也能很好地耐受。
