成人肠套叠的诊断和治疗_附58例报告.pdfVIP

12 4 Vol.12 　N o.4 2003 4 Chinese J ournal of G eneral Surgery 　　　　　　　　　　　　　　 Apr.　2003 　　:1005-6947 (200 3)04-0262-0 3 ·· :58 陈子华, 冯超, 陈能志 (中南大学湘雅医院 普外科, 湖南长沙 410008) 　　:　。　 5 8 、、。 　 5 5 , 34 , 3 8 。 (1 1 )、(15 )(10 )。 55 , 3 。5 8 。　, ;;。 :/;/ : : R 57 4 .3 　　　　 A Diagnosis and treatment of intussusception in adults:a report of 58 cases CHEN Zi -hua , F EN G Chao , CH EN Neng -zhi (Dep ar tm en t of Gen eral S urgery , X iangy a Hosp ital, Cen tral S outh University , Changsha 4 1 00 0 8, China ) Abstract:Objective 　T o inves ig a e he pa hogenesis , diagnosis and herapy of in ussuscep ion in adul s . Methods　T he manif es a ion , ype, diagnosis and rea men of 5 8 adul pa ien s w i h in u ssuscep io n w ere analyzed re rospec ively .Results 　Fif y -f ive pa ien s had abdominal pain , 34 pa ien s had nausea and v omi ing, and 3 8 pa ien s had palpable abdominal mass.T he main causes o f in u ssuscep io n w ere inflamma- io n edema (1 1 pa ien s )and benign (1 5 pa ien s )o r malignan umor (10 pa ien s).Fif y f iv e pa ien s w ere opera ed on , 3 pa ien s received in u ssu scep io n res ora io n by barium enema;all he 5 8 pa ien w ere discharged .Conclusions 　M os adul in u ssuscep io ns have pa hological f ac ors ;he occurrence is usually caused by mnl iple f ac o rs.T he diagnosis depends mainly on manifes a ions and supplemen ary examina ions . O pera ion is he f irs choice of rea men . Key words:I NT USSUSCE PTI ON/diag ;INT USSUSCEPT ION/ her C C number:R5 74 .3 　　　　　　Document code:A 　　, 12 ;1 6 , , , , , 5 。 。 1 9 80 1 ～ 2 0 0 2 6 1.2 　 5 8 , 、、