本文選題：兒童 + 腸套疊�。� 參考：《廣西醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：探討小兒急性腸套疊的臨床診治經(jīng)驗(yàn),以提高小兒腸套疊的診治水平。方法：回顧性分析10年間廣西醫(yī)科大學(xué)第一附屬醫(yī)院小兒外科收治的382例小兒急性腸套疊的臨床資料,分析其臨床特點(diǎn)及診療情況。結(jié)果：2005年01月～2015年01月共收治的382例急性腸套疊,空氣灌腸復(fù)位354例,成功259例(73.2%),14例復(fù)發(fā)(5.4%)。不同病程的空氣灌腸復(fù)位成功率差異有統(tǒng)計(jì)學(xué)意義,發(fā)病時(shí)間越長(zhǎng)復(fù)位成功率越低。手術(shù)治療166例(43.5%),其中空氣灌腸復(fù)位失敗后行手術(shù)治療95例,確診后直接手術(shù)71例(18.6%),手術(shù)治療后有2例復(fù)發(fā)(4.2%)。復(fù)發(fā)性腸套疊共16例,復(fù)發(fā)率為4.2%,發(fā)生36次腸套疊,共復(fù)發(fā)20次；空氣灌腸治療16例共20次,復(fù)位成功17次(85.0%),與空氣灌腸治療初次腸套疊的成功率比較差異無統(tǒng)計(jì)學(xué)意義(x2=0.044,P0.05)。結(jié)論：小兒急性腸套疊應(yīng)早診斷、早治療,空氣灌腸是首選的治療方法。隨著病程延長(zhǎng),復(fù)位成功率下降。應(yīng)靈活掌握灌腸治療的適應(yīng)癥、禁忌癥。復(fù)發(fā)性腸套疊與首發(fā)腸套疊的治療原則基本一致。手術(shù)是晚期患兒和非手術(shù)療法失敗時(shí)的有效治療方法。
[Abstract]:Objective: to explore the clinical experience in the diagnosis and treatment of acute intussusception in children and to improve the diagnosis and treatment of intussusception in children. Methods: the clinical data of 382 children with acute intussusception in the first affiliated Hospital of Guangxi Medical University during the past 10 years were analyzed retrospectively. Results: from January 2005 to January 2015, 382 cases of acute intussusception were treated and 354 cases were reduced by air enema. There was significant difference in the success rate of air enema reduction in different course, the longer the onset time, the lower the reduction success rate. Surgical treatment was performed in 166 cases (43.5%), of which 95 cases were treated by operation after air enema reduction failed, 71 cases were operated directly after diagnosis, and 2 cases recurred after operation. There were 16 cases of recurrent intussusception with a recurrence rate of 4.2 times, 36 intussusception and 20 relapses, and 16 cases were treated with air enema for 20 times, and 17 times were successfully reduced. There was no significant difference in the success rate between air enema and air enema in the treatment of primary intussusception. Conclusion: children with acute intussusception should be diagnosed and treated early. Air enema is the first choice of treatment. With the prolongation of the course of disease, the success rate of reduction decreased. The indication and contraindication of enema treatment should be grasped flexibly. The treatment principle of recurrent intussusception and first intussusception is basically the same. Surgery is an effective treatment for late stage children and failure of non-operative therapy.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R726.5

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