- 期刊
Ten Years Case Analysis of Adult Intussusception at a Regional Hospital in Taiwan
區域教學醫院十年的腸套疊案例分析
摘要
目的：任何起因造成的腸套疊發生在成人患者都是罕見的。對於一般外科或直腸外科的醫生來說，因為經驗有限，所以對它的病因學和治療選擇相對是不熟悉。這項研究的目的將分析成人腸套疊臨床上腫瘤種類、位置和組織學特點的相對關係。材料和方法：這項研究回顧了在2001年1月到2011年1月之間，在新店耕莘總醫院被診斷出有腸套疊的病人。所有患者年齡皆超過18歲。收集病患的病歷去分析其臨床資料，病理報告，手術記錄。結果：總共9名患者收錄於這項研究中。他們的平均年齡是66歲（範圍由30-90歲）。其中六名患者為女性，其餘3名是男性。二個病例是小腸腸套疊，其他7個病例則是大腸腸套疊。結論：腫瘤會導致成人腸套疊的種類，發生在小腸和大腸之間各有不同。當成人患有腸套疊時，惡性腫瘤必須是擺在第一臆測。腹部斷層掃描是幫助臨床診斷相當好的工具。這些發現可以幫助外科醫生在手術之前進行更周詳的考慮和計畫。
並列摘要
Background and purpose: Intussusception from any cause is rare in adult patients. Most general and colorectal surgeons are unfamiliar with its etiology and treatment options because of their limited experience with this entity. The purpose of this study was to analyze clinical and histological features of adult intussusception and define the associated tumor spectrum. Methods: This study retrospectively reviewed the medical records of all patients older than 18 years who were diagnosed with intussusception and surgically treated at Cardinal Tien Hospital (Taipei, Taiwan) between January 2001 and January 2011. The clinical, operative, and pathological data for these patients were collected from patient charts, operative notes, and pathological reports. Results: In total, 9 patients were enrolled in this study. Their median age was 66 (range, 30~90) years. Six patients were female, and 3 were male. Two cases were small-bowel intussusception and 7 cases were colonic intussusception. Conclusions: The tumor spectrum and incidence of malignances differed between adult small- and large-bowel intussusception. Malignance pathology should be the first impression in mind when an adult patient has intussusception. Abdomen computed tomography is a good diagnostic tool to help make a clinical determination. This finding can help surgeons optimize surgical treatment for intussusception preoperatively.
延伸閱讀
- Chang, W. E., Huang, T. Y., Chu, H. C., Chang, W. K., Hsieh, T. Y., & Hsu, C. H. (2010). 成人腸套疊：一醫學中心之十年經驗. 臺灣消化醫學雜誌, 27(2), 175-181. https://doi.org/10.6557/GJT.201006_27(2).0002
- Hu, J. H., Lin, W. P., Su, M. Y., Hsu, C. M., Chen, P. C., & Chiu, C. T. (2007). 雙氣囊小腸鏡診斷脂肪瘤導效之迴腸腸套疊：一病例報告. 臺灣消化醫學雜誌, 24(4), 413-417. https://doi.org/10.6557/GJT.200712_24(4).0009
- Lai, P. S., Hou, Y. C., Chang, T. C., Hung, C. H., Lin, H. M., & Liang, J. T. (2010). 地區醫院的腹腔鏡大腸直腸手術之學習曲線. 中華民國大腸直腸外科醫學會雜誌, 21(1), 1-8. https://doi.org/10.6312/SCRSTW.2010.21(1).09818
- 司淑英、謝佳芬（2012）。照顧一位皮傑氏症候群患者併發腸套疊的護理經驗。高雄護理雜誌，29(2)，70-82。https://doi.org/10.6692/KJN-2012-29-2-7
- Huang, C. T., Lin, L. H., & Chen, D. F. (2010). 腸套疊病例報告. 輔仁醫學期刊, 8(1), 49-55. https://www.airitilibrary.com/Article/Detail?DocID=18102093-201003-201104010018-201104010018-49-55