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題名 | Enterocolic Intussusception in Adults=成人腸道型腸套疊 |
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作者姓名(中文) | 嚴守智; 林楨國; 石奉周; 林資琛; 陳維熊; 姜正愷; 徐弘; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:1 民86.01-02 |
頁次 | 頁15-20 |
分類號 | 416.245 |
關鍵詞 | 成人; 腸道型腸套疊; Enterocolic intussusception; Adults; |
語文 | 英文(English) |
中文摘要 | 成人發生腸套疊遠比幼童少見,且通常是肇因於腸道本身內在的病變,在臺北榮民總醫院從過去20年中( 1974至1994年)我們收集了21個成人腸道型腸套疊病例,分析其中有19位具有腸道本身病理性的肇因約佔90.4%,這些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(Tumorrelated)有14位約佔66.7%,第二類是不同病變性質的(Miscellaneous )有5位佔23.8%,分別如:梅克爾氏憩室(Meckel's diverticulum )有2位佔9.5%,異物性肉芽腫有1位佔4.8%,大腸憩室炎1位佔4.8%及大腸缺血性壞死有1位佔4.8%,第三類是白發性(Idiopathic )有2位佔9.5 %,在14位與腫瘤相關的成人腸道型腸套疊中惡性腫瘤有5位,良性腫瘤有9位。 腸道型成人腸套疊臨床上有四種型式,第一種是小腸套小腸型有11位佔52.4%,第二種是迴腸套盲腸型有3位佔14.2%,第三種是迴腸套大腸型有2位佔9.6%,第四種是大腸套大腸型有5位佔23.8%。因此當成人腸套疊被確定時,他本身多有腸道本身病理性的肇因,必須做積極適當的手術處理。 |
英文摘要 | Intussusception is rare in adults. It is usually caused by an intrinsic lesion of the intestine different from the cause of children's intussusception. Only 21 cases of enterocolic intussusception in adults have heen diagnosed at the Veterans General Hospital-Taipei in the past 20 years. Underlying pathologic processes were identified in 19 patients (90.4%) Etiology of adult enterocolic intussusception could be categorized into three groups; (1) tumor-related (66.7%); (2) miscellaneous: Meckel's diverticulum (9.5%), diverticulitis (4.8%), foreign body granuloma (4.8%), and ischemic necrosis (4.8%); and (3) idiopathic (9.5%). The tumor-related intussusceptions were caused by benign tumors in nine patients, and ma1ignant in five. A simplified classification of enterocolic intussusception by location included: 1) enteric (52.4%); 2) ileo-cecal (14.2%); 3) ileo-colic (9.6%); 4) colocolic (23.8%) type. When an intussusception is encountered in adults, an underlying pathologic process is usually present. Exploration and proper surgical management are necessary. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。