頁籤選單縮合
| 題 名 | Small Bowel Intussusception in Adults=成人型小腸腸套疊 |
|---|---|
| 作 者 | 王嘉修; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 20:1 1987.01[民76.01] |
| 頁 次 | 頁10-19 |
| 分類號 | 416.243 |
| 關鍵詞 | 成人型小腸腸套疊; |
| 語 文 | 英文(English) |
| 中文摘要 | 自民國65年12月至74年6月止共有15例成人型小腸套套疊於木院接受手術,此病的診斷大都於術中得到,但本院有5例於術前卽得正確的診斷,本文特報告此5例的術前珍斷。這15例成人型小腸腸套疊占同期間內成人腸阻塞總數的1.2%;又占包含小孩在內全年齡腸套疊的10.5%。其中包拈6男9女,年齡平均48歲(17-70歲)。以發生部位來分,有4例是空腸空腸型,9例是廻腸廻腸型,和2例迴腸結腸型。全例的引導點都由器質性病變引起,其中6例或40%是惡性小腸腫瘤。術前症狀期間從數日至3個月不等,有7個屬於急性,8個慢性。於慢性例中有充分時間做術前診斷,可利用鋇劑灌腸造影,小腸系列造影,血管攝影,腹部超音波,或腹部電腦斷層攝影而獲得正確診斷。急性例因急性腹症必需緊急手術,診斷多在術中得到,但術前腹部超音波檢查有時亦可得到診斷。 成人型小腸套疊由於大都由器質性病發引起,同時惡性腫瘤的比率不低,外科治療應以切除為主。手術時最好不要先整腹腸套疊而直接切除病變處,以防止萬一是惡性腫瘤時癌細胞的擴散。 |
| 英文摘要 | Fifteen cases of small bowel intussusception (SBI) were treated in Chang Gung Memorial Hospital in the past eight years. They included of 6 males and 9 females, with a mean age of 45 year (range, 17 to 70 years). The locations included four of jejunojejunal type, nine of ileoilealtype and two of ileocolic type. All were caused by organic lesions as leadpoints, nine were benign and six (40%) were malignant. The preoperative course manifested as chronic partial intestinal obstruction in eight, and as acute in seven. Only five cases were diagnosed correct1y pre-operatively by means of barium meal study, small bowel series, echography and superior mesenteric angiography. Since neoplasm was the major cause of SBI, and the chance of malignancy was high, primary resection without initial manual reduction was the treatment of choice, except in those with too long a bowel segment involved or with malignancy beyond curative resection. |
本系統中英文摘要資訊取自各篇刊載內容。