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目的通过对肠套叠患儿临床资料的回顾性分析,观察发病时间、发病年龄、肠套叠类型等因素对患儿临床表现、手术方式、术后并发症的影响,探讨其临床意义。方法回顾性分析10年来手术治疗的183例急性肠套叠患儿的临床资料,根据不同的发病时间、发病年龄、肠套叠类型进行分组对比研究。结果不同发病时间对患儿肠梗阻发生率、肠切除率有显著的影响(P<0.05);不同发病年龄对患儿血便发生率有显著影响(P<0.05);不同肠套叠类型对肠切除率有显著影响(P<0.05)。结论发病时间、发病年龄及套叠类型是影响肠套叠疾病的重要因素,临床可用来评估患儿病情的严重程度,预测手术方式及预后。
Objective To retrospectively analyze the clinical data of children with intussusception and to observe the influence of clinical factors such as onset time, age of onset and type of intussusception on the clinical manifestations, operation methods and postoperative complications of children with intestine intussusception, and to explore its clinical significance. Methods The clinical data of 183 children with acute intussusception who underwent surgical treatment for 10 years were retrospectively analyzed. According to the different time of onset, the age of onset and the type of intussusception, a comparative study was conducted. Results The incidence of intestinal obstruction and intestinal resection rate were significantly different between different onset stages (P <0.05). The incidence of bloody stool was significantly affected by age of onset (P <0.05) The resection rate had a significant effect (P <0.05). Conclusions The onset time, age of onset and type of intussusception are important factors affecting the intussusception. The severity of the disease can be assessed clinically and the surgical approach and prognosis can be predicted.