摘要
目的探讨回盲部＂风帆样＂系膜与肠套叠发病的关系及手术切除的意义。方法回顾性分析2008年1月—2013年12月收治的小儿肠套叠手术复位96例的临床资料。结果本组96例中继发性肠套叠2例,术后肠套叠1例,均未探及回盲部＂风帆样＂系膜。原发性肠套叠93例,探及回盲部＂风帆样＂系膜58例,占肠套叠手术病例的60.4%（58/96）,其中肠套叠解剖分型为回结型77例,探及＂风帆样＂系膜54例;回回结型12例,探及＂风帆样＂系膜4例;回回型3例,结结型1例,均未探及＂风帆样＂系膜。均行肠套叠手术复位及＂风帆样＂系膜切除术,术后随访3个月-2年,均无肠套叠复发。结论回盲部＂风帆样＂系膜为术中清晰可见的解剖异常结构,在原发性肠套叠病例中出现频率高,与肠套叠发病存在相关性,手术切除回盲部＂风帆样＂系膜,可预防肠套叠复发。
Objective To explore the relationship between ileocolic junction mesenterium and the causes of intussusception,and to study the significance of surgical treatment. Methods Clinical data of 96 cases of intussusception surgical restoration in children during January 2008 and December 2013 were reviewed. Results 2 cases of secondary intussusception and one case of post-operative intussusception were not found to have ileocolic junction mesenterium. Among 93 cases of idiopathic intussusception,58 cases（ 60. 4%） were found to have ileocolic junction mesenterium. There were 77 cases of ileocolic intussusception,54 cases of ileocolic junction mesenterium,12 cases of ileo-ileo-colic in 4 cases,3 cases of ileo-ileo and1 case of colo-colic and no ilea colic junction mesenterium were found in those cease. In the regularly exploration of ileocolic in intussusception surgical restoration,there was no relapse in 3 months to 2 years of follow-up. Conclusion Ileocolic junction mesenterium is an abnormal condition in anatomy. It occurs frequently in idiopathic intussusception and is related with the causes of intussusception. The regularly exploration after intussusception surgical restoration and cutting the ileocolic junction mesenterium can prevent the relapse of intussusception.
出处
《临床误诊误治》
2015年第12期64-66,共3页
Clinical Misdiagnosis & Mistherapy
关键词
儿童
肠套叠
外科手术
肠系膜
复发
Child
Intussusception
Surgical procedure
operative
Mesentery
Recurrence
