【摘要】 目的探讨成人肠套叠的病因、临床分型、诊断以及手术方式的选择。方法回顾性总结 15 0例成人肠套叠的临床表现、肠套叠类型及诊断与治疗方法。结果 15 0例中具有阵发性腹痛者 135例 ( 90 0 % ) ,腹部肿块 97例 ( 6 4 7% ) ,恶心呕吐 87例 ( 5 8 0 % ) ,血便 31例 ( 2 0 7% ) ,顽固性便秘 15例 ( 10 0 % ) ;15 0例中同时具有腹痛、腹块、血便者 2 2例 ( 15 3% )。肠套叠的主要原因为良、恶性肿瘤 ,炎症 ,Meckel憩室和移动盲肠症。 15 0例肠套叠均行手术治疗 ,14 7例痊愈 ,3例死亡。结论成人肠套叠多有病理因素存在。早期的诊断依据是临床表现和辅助检查。外科手术治疗效果优良更多还原

【Abstract】 Objective To analyse pathogenesis, types, diagnosis and operation methods of adult intussusception. Methods Clinical data of 150 patients with adult intussusception were reviewed retrospectively . Results Symptom included paroxysmal bellyache (90 0%), abdominal mass (64 7%), nausea and vomit (58 0%), hematochezia (20 7%), constipation (10%) and symptom triad of bellyache , mass and hematochezia (15 3%). Tumor, inflammation, Meckel′s diverticulum and mobile cecum were main cause for intussusception. All 150 patients received operation, 147 patients were cured and 3 patients died. Conclusions Most patients of adult intussusception had pathological basis. The result of surgical therapy is good.更多还原