摘要
目的探讨小儿Peutz-Jeghers综合征并发肠套叠的临床特点和外科治疗。方法回顾分析2004年5月-2014年4月收治PJS并肠套叠13例,均采取手术治疗。4例行肠套叠手法复位,其中3例(75%)术后2年内复发后再次手术治疗;5例行肠套叠手法复位+肠管切开取息肉术;4例行肠套叠手法复位+肠切除肠吻合术,其中1例(25%)复发后再次手术。结果 13例治愈出院(100%)。随访1-11年,1例因粘连性肠梗阻(7.69%)再次手术,治愈出院。结论 PJS并肠套叠需根据病情选择合理的手术方式。术中切除大直径息肉,可以减少肠套叠复发率。
Objective To investigate the clinical features and surgical treatment of intussusception in children with Petz-Jeghers syndrome. Methods 13 cases of intussusception with PJS,from 2004 May to 2014 April,was analyzed retrospectively. All cases had been operated,Intussusception reduction was performed in 4 cases,but 3 cases（75%） recrudesced in 2 years after operation. Intussusception reduction and intestinal incision polypectomy were performed in 5 cases. Intussusception reduction and intestinal resection anastomosis were performed in 4 cases,but 1 case（25%） recrudesced after operation. Results 13 cases were cured（100%）. During 1 to 11 years follow-up,1 case（7.69%） was re-operated because adhesive intestinal obstruction then cured.Conclusion A reasonable operation mode should be taken for the PJS with intussusception,according to intestine conditions. The recurrence rate of intussusception can be reduced through large diameter polypectomy in surgery.,
出处
《江西医药》
CAS
2015年第9期854-856,共3页
Jiangxi Medical Journal
