小儿复发性肠套叠的微创治疗研究

目的：探讨小儿复发性肠套叠（套叠3 次及以上）的微创治疗。方法：回顾性分析2007 年12 月~2013 年1 月期间收治的21 例复发性肠套叠（套叠3 次及以上）患儿的临床资料。结果：21 例患儿均予以腹腔镜探查，3 例患儿仅发现回肠末端肠系膜淋巴结 增生，18 例探及原发病灶：其中Meckel憩室10 例，结肠息肉3 例，肠重复畸形2 例，非霍奇金淋巴瘤1 例，异位胰腺1 例，小肠腺 瘤1 例。20 例术后随访至今均未再次复发，1 例失访。结论：年龄＞2 岁，有多次复发肠套叠病史（套叠3 次及以上），尤其是短期内 复发频繁的患儿，大多存在肠道器质性病变，应积极手术治疗，且以腹腔镜治疗为佳。

The Study of Minimally Invasive Treatment in Pediatric Recurrent Intussusceptions

Objective:To explore the minimally invasive treatment of pediatric recurrent intussusceptions (more than 3 times).Methods:The clinical data of 21 cases of pediatric recurrent intussusceptions were retrospectively analyzed.Results:Laparoscopic exploration was performed in all 21 children. It was not reveal any pathological causes in 3 cases of intussusceptions, however, primary lesions were found in 18 cases: Meckel diverticulums was in cases, colonic polyps was in cases, intestinal duplications in adenoma of small intestine in 1 case. No recurrent occurred in 20 cases of patients who successfully received follow-up after surgery with 1 case of lost to follow-up.Conclusion:For children older than 2 years, recurrent intussusception has repeatedly 3 times and above, especially for those children recrudesced frequently in short-term, most of them presence of intestinal disorders, they should be actively treated by surgery and laparoscopic surgery is preferred.