查詢結果分析
相關文獻
- Enterocolic Intussusception in Adults
- Adult Intussusception
- 從教育財政學的觀點看成人教育收費的合理性--學費理論在成人教育上的運用
- 諾爾斯成人教育學模型在國中補校教學上的適用性--以公民科為例
- Broadening the Concepts of Moore's Transactional Distance Theory in the Light of Relevant Adult Education Theories and the New Telecommunications Technologies
- 跨世紀人才素質和成人高等教育改革
- 單一性肌肉纖維瘤
- 落實終身學習 開闊成教格局
- 成人教育數學科學習評量研究
- 培養成人科技素養落實終生科技教育理念
頁籤選單縮合
題名 | Adult Intussusception=成人腸套疊 |
---|---|
作者 | 黃士峰; 嚴守智; 王瑞和; 林楨國; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 25:1 2014.03[民103.03] |
頁次 | 頁1-7 |
分類號 | 416.245 |
關鍵詞 | 成人; 腸道型腸套疊; Adults; Enterocolic intussusception; |
語文 | 英文(English) |
中文摘要 | 目的 腸套疊常見於幼童,成人比較少見,成人發生腸套疊通常是肇因於腸道本身內在的病變不同於幼童。方法 本研究收集自1974至2012年共38年間,在台北榮民總醫院共30位腸道型腸套疊病患,分析其臨床表徵,型態,治療方式結果,做了完整的病歷分析。結果 分析30位腸道型腸套疊病患,有26位有腸道本身的病理性肇因約佔86%,成人腸道型腸套疊肇因大致分為三類,第一類是與腫瘤相關(tumor-related)有20位約佔66.7%,第二類是不同病變性質的(Miscellaneous)有6位約佔20%,分別如梅克爾氏憩室(Meckel's diverticulum)有2位約佔6.7%,異物性肉芽腫有1位約佔3.3%,大腸憩室炎有2位約佔6.7%,大腸缺血性壞死有1位約佔3.3%,第三類是自發性(Idiopathic)有4位約佔13.3%。在20位與腫瘤相關(tumor-related)的成人腸道型腸套疊中,惡性腫瘤有7位,良性腫瘤有13位。成人腸道型腸套疊臨床上有四種型式:第一種小腸套小腸型有12位約佔40%,第二種是迴腸套盲腸型有7位約佔23.3%,第三種是迴腸套大腸型有5位約佔16.7%,第四種是大腸套大腸型有6位約佔20%。結論 當成人腸套疊被確定診斷時,其個人多有腸道本身的病理性肇因,必須做積極適當的完整切除手術。 |
英文摘要 | Purpose. Intussusception is relatively common in children, but clinically rare in adults. The condition is usually secondary to an intrinsic lesion of the intestine, which is different from the cause of children's intussusception.Methods. Atotal of 30 cases of enterocolic intussusception had been diagnosed in adult at Veterans General Hospital-Taipei in the past 38 years.Results. Eighty-six percent of adult intussusceptions were associated with definable lesions. The etiology of adult enterocolic intussusception could be categorized into three groups: (1) tumor-related (67.7%); (2) miscellaneous, including Meckel's diverticulum (6.7%), diverticulitis (6.7%), foreign body granuloma (3.3%), and ischemic necrosis (3.3%); and (3) idiopathic (13.3%). Twenty-three percent of enteric lesions were malignant, whereas 40% of colonic lesions were malignant. The 30 cases were simply classified as enteric (40%), ileocecal (23.3%), ileo-colic (16.7%), or colocolic (20%) type.Conclusions. When an colonic intussusception is encountered in adults, an underlying pathologic lesion is very likely present. En bloc resection without reduction is recommended for adult intussusceptions due to the possibility of malignancy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。