Ten Years Review Of Acute Intussusception In Children

Objective:To investigate the clinical diagnosis and treatment of children with acute intussusception in order to improve the diagnosis and treatment of pediatric intussusception.Methods:A retrospective analysis of clinical data of 10 years,382 cases of children with acute intussusception First Affiliated Hospital of Guangxi Medical University, admitted to pediatric surgery, their clinical characteristics and treatment conditions.Results:January 2005-January 2015 were treated 382 cases of acute intussusception, air enema 354 cases,259 cases of success (73.2%),14 cases of recurrence (5.4%). Different course of air enema reduction success rate was significantly lower incidence longer reset success rate. Surgical treatment of 166 cases (43.5%), including failure of air enema reduction underwent surgery 95 cases,71 cases direct surgery (18.6%) after diagnosis, there are two cases of post-surgical treatment of recurrence (4.2%). Surgery to remove the appendix 82 cases (49.3%). A total of 16 cases of recurrent intussusception, the recurrence rate was 4.2%, occurred 36 times intussusception, a total of 20 times recurrence; air enema 16 cases of a total of 20 times,17 times the initial successful reduction (85.0%), and air enema The success rate of intussusception difference was not statistically significant.(x2= 0.044, P> 0.05).Conclusions:Acute intussusception in children should be early diagnosis, early treatment, air enema is the preferred method of treatment. With the extension of the course, reset success rate. It should be flexible enema indications, contraindications. Consistent with the principles of treatment of recurrent intussusception intussusception episode. Surgery is an effective treatment for advanced children and non-surgical therapy fails.