CAJ | 학술논문

目的通过对临沂市6年中儿童肠套叠的发病趋势及复发特点分析,探讨当地儿童肠套叠的流行病学特点及复发规律,为预防儿童肠套叠的发生和对疾病的治疗决策提供参考依据.方法对2006～2011年入院的所有肠套叠患儿进行回顾性研究,对患儿的临床资料、治疗、初发和复发特点进行分析.结果 6年来共收治1805例,其中男1282例,女523例,男:女=2.45:1.空气灌肠整复1451次,手术354次,整复成功率80.39％.其中133例复发181次,复发率10.03％,男99例,女34例,男:女=2.91:1.再次空气灌肠整复163次,整复成功率90.05％.初次发病后6个月内复发122次,占67.4％.3岁以下患儿占复发患儿的85.08％.2岁以下儿童肠套叠年平均发病率为222.50/10万.术中发现17例肠套叠由于继发因素引起,3岁以上有10例.结论空气灌肠是治疗儿童肠套叠的有效措施,也是治疗复发性肠套叠的有效手段.3岁以下儿童是防治肠套叠的重点人群,初次发病后6个月内是预防肠套叠复发的关键时期,3岁以上儿童应警惕继发性肠套叠的可能.回盲部解剖异常可能是导致肠套叠复发的主要原因.
목적 통과대림기시6년중인동장투첩적발병추세급복발특점분석,탐토당지인동장투첩적류행병학특점급복발규률,위예방인동장투첩적발생화대질병적치료결책제공삼고의거.방법 대2006～2011년입원적소유장투첩환인진행회고성연구,대환인적림상자료、치료、초발화복발특점진행분석.결과 6년래공수치1805례,기중남1282례,녀523례,남:녀=2.45:1.공기관장정복1451차,수술354차,정복성공솔80.39％.기중133례복발181차,복발솔10.03％,남99례,녀34례,남:녀=2.91:1.재차공기관장정복163차,정복성공솔90.05％.초차발병후6개월내복발122차,점67.4％.3세이하환인점복발환인적85.08％.2세이하인동장투첩년평균발병솔위222.50/10만.술중발현17례장투첩유우계발인소인기,3세이상유10례.결론 공기관장시치료인동장투첩적유효조시,야시치료복발성장투첩적유효수단.3세이하인동시방치장투첩적중점인군,초차발병후6개월내시예방장투첩복발적관건시기,3세이상인동응경척계발성장투첩적가능.회맹부해부이상가능시도치장투첩복발적주요원인.
Objective To study the epidemiology of childhood intussusception and characteristics of recurrence in Linyi city and to provide the basis for making plans for prevention and surveillance.Methods A retrospective review of all patients diagnosed with intussusception at Linyi People's Hospital,from January 2006 to December 2011 was carried out.We evaluated clinical data,treatment,presentation and recurrence characteristics.Results During the 6-year period,1805 patients (1282 males,523 females) with intussusception were treated in our hospital.The ratio of male to female patients was 2.45:1.Air enema reduction had a success rate of 80.39％.There were 181 episodes of recurrent intusussception in 133 patients (99 males,34 females).The overall recurrence rate was 10.03％.The ratio of male to female patients was 2.91:1.Repeated enema reduction had a success rate of 90.05％.122 (67.4％) cases of recurrent intusussception occurred within 6 months.85.08％ of all recurrent cases were younger than 3 years old.The average annual incidence rate of intussusception was 222.50 per 100,000 children less than 2 years of age.Pathologic lead points were present in 17 cases,10 cases were older than 3 years.Conclusions Air enema reduction is an effective treatment for children with primary and recurrent intussusceptions.The focus of surveillance should be in those who are under 3 years old and within six months of the initial episode.For those who are more than 3 years old,there is a high possibility of secondary intussusception due to anatomical anomalies.