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相關文獻
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頁籤選單縮合
題 名 | Recurrent Cecal Juvenil Polyp-Induced Pediatric Intussusception: A Case Report and Review of Literature=盲腸幼年型息肉引起幼兒復發性腸套疊 |
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作 者 | 陳東源; 金仁; 陳塗墻; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 32:1 民88.01-02 |
頁 次 | 頁23-27 |
分類號 | 417.6244 |
關鍵詞 | 盲腸; 幼年型息肉; 腸套疊; Recurrent intussusception; Ileocaeco-colic type; Juvenile polyp; |
語 文 | 英文(English) |
中文摘要 | 幼兒腸套疊是造成腸阻塞的原因之一,且大部分均是迴腸--結腸型態,原因大多 不明! 本例乃一罕見幼兒病歷 " 因盲腸單一年輕型息肉所引起復發性腸套疊及其多變臨床 症狀 " 並介紹因機械性阻塞所引起迴盲腸 -- 結腸罕見套疊型態。 腸套疊的診斷以臨床症狀、腹部超音波或鋇劑檢查,而治療大多以鋇劑灌腸復位,本文中討 論各種治療方式的比較、危險因子及復發比例等。而剖腹手術的實施則是當灌腸復位失敗或 因其他機械因子造成復發性腸套疊等,本文中亦討論緊急手術時機的選擇亦關係預後好壞。 幼年型息肉大部分均位遠端結腸,罕見於近端盲腸,本文中討論年輕型息肉的特徵、分佈及 其預後,而治療上可作息肉切除或保守治療等,但家族年輕型多發性息肉則有癌變的可能, 而治療則必須積極處理。 |
英文摘要 | Intussusception is relatively common pediatric emergency, although the etiology in most case remains unknown. In some case, the pediatric intussusception was caused by mechanic obstruction like polyp or tumor. Most of intussusception case can be treated by conservative therapy (enema reduction) and the result was satisfactory. Unfortunately, the recurrent intussusception is still high, 8-12% postinitial reduction in one year and its diagnosis is often delay because of non-specific signs and symptoms (abdominal pain, vomiting, abdominal distension) except the clues of past history of reduced intussusception. We report an unusual case of recurrent cecal juvenile polyp-induced pediatric intussusception of ileocaeco-colic type and introduce its clinical variation. The majority of juvenile polyps occur in the rectum colon within the reach of a standard pediatric sigmoidoscopy, and are rare located in cecum. This is an unusual case of solitary juvenile polyp located in cecum inducing intussusception. In the report, we review the literature discussing the characteristic difference between solitary juvenile polyp and juvenile polyposis, the tendency of intussusception of ileocaeco-colic type, the risk factors of recurrent intussusception and the indication for laparotomy or emergency surgery. |
本系統中英文摘要資訊取自各篇刊載內容。