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頁籤選單縮合
題名 | Clinico-pathological Features of Colonic Intussusception in Adults=成人大腸腸套疊之臨床病理表徵 |
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作者 | 張東晟; 梁金銅; 林本仁; 黃約翰; 林宏茂; Chang, Tung-cheng; Liang, Jin-tung; Lin, Ben-ren; Huang, John; Lin, Hong-mau; |
期刊 | 中華民國大腸直腸外科醫學會雜誌 |
出版日期 | 20100300 |
卷期 | 21:1 2010.03[民99.03] |
頁次 | 頁23-28 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 成人; 大腸; 腸套疊; Adult; Colon; Intussusception; |
中文摘要 | 目的 成人腸套疊是一種很罕見的疾病,而大腸的腸套疊又比小腸的腸套疊少許多,因 為此種疾病並不多見,大家的經驗也不多,所以我們整理了小腸腸套疊的病人,並將這 一類的病人做一分析。 方法 從西元1997 年至2008 年總共有18 個大腸腸套疊的病人在本院接受治療,我們 將這18 個病人分為大腸大腸套疊和小腸大腸套疊兩組,然後進行分析比較。 結果 共有11 個小腸大腸套疊和7 個大腸大腸套疊的病人。平均的症狀是22.2 天 (1 至105 天),其中腹痛表現於所有的病人。只有一個人沒有接受外科手術,而是用灌腸 的方式解套。所有大腸大腸套疊的病人都是惡性的病灶,而小腸大腸套疊的只有27% (p < 0.001)。這裡面是大腸癌的病人目前都還存活,預後沒有比較差。 結論 成人大腸腸套疊是一種很罕見的疾病,腹痛是最主要的症狀表現。腹部超音波以 及電腦斷層對於診斷此疾病有最高的正確率。在我們的研究中大腸大腸套疊的病比小腸 大腸套疊有較高的惡性比率,直接將病灶切除不在術中解套並將其周圍的淋巴腺進行擴 清為現在認為最適當的治療方式。 |
英文摘要 | Purpose. Adult intussusception is a uncommon disease, and the colonic inrussusception is less than enteric intussusception. Because of the limited experience with such clinical entities, we report a series of adult colonic intussusception to discuss diagnosis and treatment. Methods. From January 1997 to December 2008, a total of 18 patients with adult colonic intussusceptions were reviewed. We divided the patients into colocolic group and ileocolic group and analyzed the data of these 18 patients. Results. There were 11 ileocolic intussusception and 7 colocolic intussusception. The mean duration of symptoms was 22.2 days (range 1 to 105 days), and abdominal pain was represented in all patients. Only one patient underwent hydrostatic reduction without operation and others underwent bowel resection with organic lesion. One hundred percent of colocolic intussusception cases were malignant lesions and this was more than ileocolic intussusceptions (27% and p < 0.001). All patients with colon cancer had a favorable outcome and are still alive. Conclusion. Colonic intussusception in adults is a rare disease. Abdominal pain is complained of by all patients but the symptoms have various duration. Abdominal ultrasonography and computed tomography are useful tools for colonic intussusception diagnosis. In our study, colocolic intussusception had more malignant probability than ileocolic intussusception. Primary resection with associated lymph node dissection without reduction is the principle method of treatment. |
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